2025 ICD-10-CM code E10.31
(Active) Effective Date: N/A Endocrine, nutritional and metabolic diseases - Diabetes mellitus 4 Feed
Type 1 diabetes mellitus with unspecified diabetic retinopathy.
Medical necessity is established by the presence of diabetic retinopathy in a patient with type 1 diabetes. The specific treatment provided should be documented as medically necessary based on the severity and type of retinopathy.
Diabetic retinopathy can be classified as proliferative (advanced, with abnormal blood vessel growth) and nonproliferative (early stage, with leaking blood vessels). Symptoms include microaneurysms, hemorrhages, retinal edema, cotton wool spots, macular edema, blurred vision, light flashes, dark spots, and potentially vision loss.Systemic symptoms of diabetes may also be present. Diagnosis involves glucose tolerance tests, HbA1c levels, eye exams including ophthalmoscopy, and imaging studies like angiography and OCT. Treatment may involve laser photocoagulation, vitrectomy, injections of anti-VEGF medications or steroids, and management of the underlying diabetes with insulin, diet, and blood glucose monitoring.
In simple words: This code refers to eye disease caused by type 1 diabetes.Type 1 diabetes happens when the body's immune system attacks the cells in the pancreas that make insulin, a hormone that helps control blood sugar. High blood sugar from diabetes can damage the blood vessels in the back of your eye (the retina), causing blurry vision or even blindness if left untreated.
Type 1 diabetes mellitus with unspecified diabetic retinopathy refers to retinal disease caused by type 1 diabetes.This is a chronic autoimmune disease caused by the destruction of pancreatic beta cells, preventing the pancreas from producing enough insulin, which leads to high blood glucose levels.The uncontrolled blood glucose levels gradually damage the retina, leading to blocked blood vessels and subsequent abnormal blood vessel growth and/or retinal detachment. The specific type of diabetic retinopathy is not specified.
Example 1: A patient with established type 1 diabetes presents with blurred vision and floaters.Examination reveals neovascularization and retinal hemorrhages, consistent with proliferative diabetic retinopathy., A routine eye exam on a patient with type 1 diabetes shows microaneurysms and cotton wool spots, indicating nonproliferative diabetic retinopathy. The patient is asymptomatic., A patient with long-standing type 1 diabetes and known diabetic retinopathy complains of worsening vision.OCT reveals macular edema, requiring treatment with intravitreal injections.
Diagnosis of type 1 diabetes.Type of diabetic retinopathy (if specified).Symptoms related to retinopathy, such as blurred vision, floaters, visual field defects.Findings from ophthalmological examination, including funduscopy, fluorescein angiography, and OCT.Treatment provided, including laser therapy, injections, or vitrectomy.
- Specialties:Endocrinology, Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center