A 58-year-old with type 1 diabetes mellitus comes in for comprehensive eye examination. She is diagnosed with diabetic retinopathy with macular edema in the right eye. What ICD-10-CM coding is reported?
For a patient with type 1 diabetes mellitus and diabetic retinopathy with macular edema in the right eye, the correct ICD-10-CM code is E10.3511. This code specifically captures:
E10: Type 1 diabetes mellitus.
35: Diabetic retinopathy with macular edema.
1: Right eye.
Each choice addresses different severities or eye specifications:
A. E10.3211: Indicates mild nonproliferative diabetic retinopathy with macular edema in the right eye, not the general diabetic retinopathy category.
B. E10.3519: Refers to diabetic retinopathy with macular edema without specification to the right eye.
D. E10.311: Refers to nonproliferative diabetic retinopathy without macular edema in the right eye.
Thus, the correct answer is C. E10.3511, as it fully captures type 1 diabetes with diabetic retinopathy with macular edema in the right eye.
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