E11.35
Type 2 diabetes mellitus with proliferative diabetic retinopathy
Clinical Classification Guidelines
7th Character Definition
One of the following 7th characters is to be assigned to codes in subcategory E11.35 to designate laterality of the disease:
Medical Intelligence & Overview
Type 2 diabetes mellitus is a chronic condition that affects how your body processes blood sugar. When complications develop, such as proliferative diabetic retinopathy, it can impact your eyesight. This condition is identified by the ICD-10 code E11.35 and requires careful management to prevent vision loss.
Causes & Symptoms
Clinical Causes: Poor blood sugar control over time High blood pressure High cholesterol levels Smoking Regularly elevated blood glucose levels leading to damage Genetic factors that predispose individuals to diabetes complications
Key Symptoms: Seeing floaters or dark spots in the vision Blurred vision Sudden loss of vision in one or both eyes Difficulty perceiving colors or contrast Eye discomfort or pain (less common) Accumulation of new, fragile blood vessels in the retina
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive eye examination by an eye specialist, including dilated fundus examination to observe the retina. Additional tests may include imaging methods such as fluorescein angiography or optical coherence tomography (OCT) to assess the extent of retinal damage and abnormal blood vessel growth.
Treatment Protocols: Managing proliferative diabetic retinopathy aims to prevent further vision impairment. Common treatments include: - Laser therapy (panretinal photocoagulation): Seals or destroys abnormal blood vessels. - Anti-VEGF injections: Medications that inhibit growth of new, fragile blood vessels. - Vitrectomy: Surgical removal of blood or scar tissue from the vitreous if bleeding or retinal detachment occurs. - Tight control of blood sugar, blood pressure, and cholesterol levels to slow progression. Regular eye exams are crucial for early detection and treatment of changes in the retina.
Clinical Advice & FAQs
Billing Guidance
Is E11.35 a billable ICD-10 code?
Yes, E11.35 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report E11.35?
Clinical documentation must specify the nature of Type 2 diabetes mellitus with proliferative diabetic retinopathy and any associated comorbidities for accurate reporting.
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