ICD Code E11.319

ICD code E11.319 is type 2 diabetes mellitus with unspecified diabetic retinopathy, without macular edema.

1. Patient has a confirmed diagnosis of type 2 diabetes mellitus.

2. Evidence of diabetic retinopathy is present, but the specific type or stage is not documented.

3. There is no clinical or diagnostic evidence of macular edema.

4. The retinopathy is not further specified as proliferative or nonproliferative.

5. The patient does not have type 1 diabetes or other specified types of diabetes.

Relevant CPT codes that may be used to treat ICD code E11.319 include:

- 92002: Ophthalmological services; medical examination and evaluation, new patient

- 92004: Ophthalmological services; comprehensive, new patient

- 92012: Ophthalmological services; medical examination and evaluation, established patient

- 92014: Ophthalmological services; comprehensive, established patient

- 92250: Fundus photography with interpretation and report

- 92227: Remote imaging for detection of retinal disease with analysis and report

- 92228: Remote imaging for monitoring and management of active retinal disease

- 67210: Destruction of localized lesion of retina (e.g., macular edema, tumors), photocoagulation

- 67228: Treatment of extensive or progressive retinopathy, photocoagulation

CPT code selection should be based on the specific services rendered and clinical documentation.

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