icd 9 code for diabetic macular edema

by Lance Kovacek 4 min read

2012 ICD-9-CM Diagnosis Code 362.07 : Diabetic macular edema.

What are the ICD 10 codes for diabetes?

Diabetic macular edema ICD-9-CM 362.07 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 362.07 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).

What is ICD 10 for poorly controlled diabetes?

Diabetic macular edema (362.07) ICD-9 code 362.07 for Diabetic macular edema is a medical classification as listed by WHO under the range -DISORDERS OF THE EYE AND ADNEXA (360-379). Subscribe to Codify and get the code details in a flash.

What is diabetes insipidus ICD 10 code?

ICD-9 Code 362.07 Diabetic macular edema. ICD-9 Index; Chapter: 360–389; Section: 360-379; Block: 362 Other retinal disorders; 362.07 - Diabetic macular edema

What is the ICD 10 diagnosis code for?

Feb 11, 2022 · ICD-9-CM Vol. 1 Diagnostic Codes. 362.07 - Diabetic macular edema. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. HCC Plus.

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What is the ICD-10 code for diabetic macular edema?

Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema. E11. 311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 9 code for diabetes retinopathy?

ICD-9 code 362.0 for Diabetic retinopathy is a medical classification as listed by WHO under the range -DISORDERS OF THE EYE AND ADNEXA (360-379).

What is clinically significant diabetic macular Oedema?

Clinically-significant macular edema (CSME) [3] is defined as one or more of the following: retinal thickening at or within 500 μm of the center of the macula; hard exudates at or within 500 μm of the center of the macula, if associated with adjacent retinal thickening; or a zone or zones of retinal thickening one disc ...Mar 6, 2012

What is the ICD-10 code for diabetic retinopathy?

319-349 Diabetic Retinopathy. Diabetic retinopathy is a disease manifestation of diabetes. The condition is defined as retinal changes associated with long-term diabetes.Jun 19, 2017

What is background diabetic retinopathy?

ANSWER. Background or non-proliferative diabetic retinopathy (NPDR) is the earliest stage of diabetic retinopathy. In this condition, damaged blood vessels begin to leak into the retina. That can lead to other eye problems, like macular edema and macular ischemia.

What is the ICD 10 code for edema?

R60.9R60. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

How is diabetic macular edema diagnosed?

Diagnosis of Diabetic Macular Edema The best way to detect diabetic macular edema is by complete eye examination including direct examination after your pupils have been dilated. Dilated pupils provide your doctor with a direct view of the entire retina and associated structures.Nov 10, 2017

Is diabetic macular edema the same as diabetic retinopathy?

Is diabetic retinopathy the same as diabetic macular edema? Diabetic retinopathy and DME aren't the same thing. Diabetic retinopathy is a complication of diabetes that can lead to vision loss. It can also result in other complications, including DME.Mar 23, 2021

What is a macular Oedema?

Macular Oedema is a condition which can cause permanent vision loss if untreated. It is often the result of diabetes. Symptoms include mild to severe loss of your central vision. The condition can be treated and managed. Macular Oedema occurs when blood vessels in the light sensitive part of your eye (the retina) leak.

What is the icd10 code for diabetes?

E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.

What are the stages of diabetic retinopathy?

The damage is caused by an increase in blood glucose which can harm blood vessels. When these blood vessels thicken, they can develop leaks, which can then lead to vision loss. The four stages of diabetic retinopathy are classified as mild, moderate, and severe nonproliferative and proliferative.Jan 15, 2015

Is background diabetic retinopathy the same as nonproliferative?

Background diabetic retinopathy, also known as non-proliferative diabetic retinopathy (NPDR), is the early stage of diabetic retinopathy. This occurs when diabetes damages the small blood vessels and nerves in the retina.

What is the ICd-9 GEM?

The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Can diabetes cause blindness?

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your eyes. The most common problem is diabetic retinopathy. It is a leading cause of blindness in American adults.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

On September 26, 2014, The US Food and Drug Administration approved ILUVIEN® (fluocinolone acetonide intravitreal implant) 0.19 mg for the treatment of diabetic macular edema (DME) in patients who have been previously treated with a course of corticosteroids and did not have a clinically significant rise in intraocular pressure.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

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What is the ICd 10 code for macular edema?

E11.319 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Type 2 diabetes w unsp diabetic rtnop w/o macular edema This is the American ICD-10-CM version of E11.319 - other international versions of ICD-10 E11.319 may differ. Continue reading >>

What is the ICd 10 code for diabetic retinopathy?

E11.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Type 2 diabetes w unsp diabetic retinopathy w macular edema This is the American ICD-10-CM version of E11.311 - other international versions of ICD-10 E11.311 may differ. A disease in which the body does not control the amount of glucose (a type of sugar) in the blood and the kidneys make a large amount of urine. This disease occurs when the body does not make enough insulin or does not use it the way it should. A heterogeneous group of disorders characterized by hyperglycemia and glucose intolerance. A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization. A subclass of diabetes mellitus that is not insulin-responsive or dependent (niddm). It is characterized initially by insulin resistance and hyperinsulinemia; and eventually by glucose intolerance; hyperglycemia; and overt diabetes. Type ii diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop ketosis but often exhibit obesity. A type of diabetes mellitus that is characterized by insulin resistance or desensitization and increased blood glucose levels. This is a chronic disease that can develop gradually over the life of a patient and can be linked to both environmental factors and heredity. Diabetes is a disease in which your blood glucose, or sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without Continue reading >>

What is the difference between ICd 10 and ICd 9?

The transition strategy, tools and resources ICD-10 simplifies coding of diabetic renal, ophthalmic & neurologic manifestations Just one combination code, E11.311 (Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema), will sufficiently capture diabetic macular edema in ICD-10, whereas, in ICD-9, the condition requires three separate codes: 250.50 for the diabetes, 362.01 for background diabetic retinopathy and 362.07 for the diabetic macular edema. ICD-10 will simplify the coding of renal, ophthalmic and neurological diabetic manifestations, as most of these conditions, which require a minimum of two codes in ICD-9, are captured with single combination codes in the new code set. In fact, most of the time, the only additional code required when coding diabetic manifestations is that for insulin use (Z79.4, Long term (current) use of insulin) in patients with the type 2 form of the disease [I.C.4.a.3]. The ICD-10 codes that cover diabetes are found in Chapter 4 (Endocrine, nutritional and metabolic diseases) and range from the E08 (Diabetes mellitus due to underlying condition) to the E13 (Other specified diabetes mellitus) categories, depending on the type of the condition (1 or 2) and its cause (such as drug of chemical-induced diabetes, or diabetes resulting from another disease). Home health coding will make the most use of codes from the E11.- category (Type 2 diabetes mellitus), says Vonnie Blevins, HCS-D, coding and billing manager for Excellence Healthcare in Houston. Just like in ICD-9, when the type of diabetes is not specified, type 2 should be coded [I.C.4.a.2]. Renal, ophthalmic and neurological manifestations are indicated in ICD-10 with the use of the fourth character 2 for renal, 3 for ophthalmic and 4 for neurological. Continue reading >>

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