2025 ICD-10-CM code E10.32
(Active) Effective Date: N/A Revision Date: N/A Diabetes Mellitus - Diabetes mellitus with ophthalmic complications 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) Feed
Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy.
Medical necessity for ophthalmological exams and treatment for diabetic retinopathy is based on the presence and severity of the condition. Regular screening for patients with diabetes is necessary for early detection and timely intervention to prevent vision loss.
Diagnosis and management are typically overseen by endocrinologists, ophthalmologists, and primary care physicians. Endocrinologists manage the diabetes, while ophthalmologists address the retinopathy. Primary care physicians play a role in coordinating care and managing overall health.
In simple words: This code describes a person with type 1 diabetes whose high blood sugar has started to cause mild damage to the blood vessels in their retina (the back of the eye). It's the early stage of eye problems from diabetes where the small blood vessels are leaking, but new, fragile vessels haven't started to grow yet.
This code signifies a patient has type 1 diabetes with mild nonproliferative diabetic retinopathy (NPDR).NPDR is an early stage of diabetic retinopathy where the retinal blood vessels are damaged, but new blood vessels have not yet begun to grow."Mild" indicates the least severe form of NPDR, characterized by the presence of at least one microaneurysm and one dot hemorrhage in all four quadrants of the fundus.
Example 1: A 25-year-old patient with a 10-year history of type 1 diabetes presents for an annual eye exam.The ophthalmologist notes microaneurysms and dot hemorrhages in all four quadrants of the fundus, consistent with mild NPDR.The patient has no visual complaints., A 50-year-old with type 1 diabetes and blurry vision is referred to an ophthalmologist.Examination reveals mild NPDR without macular edema.The blurry vision is attributed to uncontrolled blood sugar levels., A 60-year-old patient with long-standing type 1 diabetes presents with mild NPDR in the right eye and moderate NPDR in the left eye. The ophthalmologist recommends further monitoring and emphasizes the importance of blood sugar control.
Documentation should include the type and stage of diabetic retinopathy, the presence or absence of macular edema, any visual symptoms, HbA1c levels, and other relevant medical history related to the patient's diabetes.
** This information is current as of November 30, 2024 and may be subject to change with updates to ICD-10 coding guidelines. For the most up-to-date information, refer to current coding manuals and resources.
- Payment Status: Active
- Specialties:Endocrinology, Ophthalmology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (if admitted for complications)