Diabetes mellitus due to underlying conditions with severe nonproliferative diabetic retinopathy without macular edema is a serious complication of diabetes that can lead to vision loss. This condition arises from chronic hyperglycemia and requires careful management to prevent further complications. The ICD-10 Code E08.349 is essential for accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively communicate the severity and nature of the patient's condition.
What is ICD-10 Code E08.349 for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema?
ICD-10 Code E08.349 represents diabetes mellitus secondary to an underlying condition, specifically characterized by severe nonproliferative diabetic retinopathy without macular edema. This code is used when documenting cases where diabetes has led to significant retinal changes, necessitating careful monitoring and treatment. It is crucial for accurate clinical documentation and billing, particularly in cases involving eye care specialists.
ICD-10 Code E08.349 – Clinical Definition and Explanation of Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
Diabetes mellitus due to underlying conditions with severe nonproliferative diabetic retinopathy without macular edema is a complex condition that arises from prolonged hyperglycemia. This condition can lead to significant visual impairment and requires immediate medical attention to manage blood glucose levels and prevent progression. Regular eye examinations are critical for early detection and intervention.
Key Clinical Features:
- Severe vision changes or blurriness due to retinal damage.
- Presence of retinal hemorrhages and exudates on examination.
- History of poorly controlled blood glucose levels.
- Potential for progression to proliferative diabetic retinopathy if untreated.
ICD-10 Code E08.349 for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema – SOAP Notes & Clinical Use
In clinical workflows, ICD-10 Code E08.349 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan. This code aids in capturing the severity of the diabetic retinopathy and the underlying diabetes, ensuring comprehensive care in both acute and chronic settings.
What Does ICD-10 Code E08.349 for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema Mean in SOAP Notes?
In SOAP notes, ICD-10 Code E08.349 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of severe nonproliferative diabetic retinopathy. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code E08.349 – Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
Management of this condition requires a multifaceted approach to control blood glucose levels and monitor retinal health.
Antibiotic Therapy:
Supportive Care:
- Tight glycemic control through insulin or oral hypoglycemics.
- Regular ophthalmologic evaluations to monitor retinal changes.
- Patient education on lifestyle modifications, including diet and exercise.
Infection Control:
How to Document Symptoms of Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema (ICD-10 E08.349) in SOAP Notes
Subjective:
- Patient reports blurred vision and difficulty seeing at night.
- History of fluctuating blood glucose levels.
- Complaints of eye discomfort and occasional headaches.
- No history of recent eye trauma.
Objective:
- Visual acuity testing shows reduced vision in both eyes.
- Fundoscopic examination reveals retinal hemorrhages and cotton wool spots.
- Blood glucose levels recorded at 250 mg/dL.
- Blood pressure measured at 140/90 mmHg.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
SOAP Note Guidelines for Diagnosing Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema (ICD-10 Code E08.349)
Assessment:
- Diagnosis of severe nonproliferative diabetic retinopathy without macular edema.
- ICD-10 Code E08.349 confirmed.
- Contributing factors include poor glycemic control and hypertension.
- Patient at risk for progression to proliferative retinopathy.
Plan:
- Initiate insulin therapy to achieve better glycemic control.
- Refer to ophthalmology for further evaluation and potential laser treatment.
- Educate patient on dietary modifications and the importance of regular follow-ups.
- Schedule follow-up appointment in 3 months to reassess vision and blood glucose levels.
Treatment & Plan Section for ICD-10 Code E08.349 – Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
- First-line pharmacologic treatment includes insulin therapy to manage blood glucose levels.
- Non-pharmacologic strategies involve dietary changes and regular exercise to improve overall health.
- Monitoring practices include regular eye exams and blood glucose tracking.
- Follow-up appointments should be scheduled every 3-6 months to assess disease progression.
Using ICD-10 Code E08.349 for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema in Billing & SOAP Note Compliance
- Select accurate subcodes based on the severity of retinopathy and any additional complications.
- Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
- Ensure treatment plans align with clinical guidelines to support justified billing.
- Commonly billed CPT codes include 92014 for comprehensive eye exams and 99213 for established patient visits.
Related ICD-10 Codes Often Used with Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
ICD-10 Code E08.349 in Medical Billing and Insurance for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
In medical billing, ICD-10 Code E08.349 is crucial for accurately capturing the complexity of diabetes-related complications, particularly in hospital, ER, or infectious disease care.
Billing Notes:
- Ensure documentation includes detailed descriptions of symptoms and treatment plans to support the ICD-10 claim.
- Use this code in settings where patients present with complications of diabetes requiring specialized care.
- Highlight key chart elements such as visual acuity tests and blood glucose levels in documentation.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 92014 | Comprehensive eye examination, established patient. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient. |
| 36415 | Collection of venous blood by venipuncture. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code E08.349 for Diab d/t undrl cond w sev nonprlf diab rtnop w/o mclr edema
What are the common symptoms of severe nonproliferative diabetic retinopathy?
Common symptoms include blurred vision, difficulty seeing at night, and the presence of floaters or spots in the vision. Patients may also experience eye discomfort or headaches due to retinal changes.
How is ICD-10 Code E08.349 used in billing?
ICD-10 Code E08.349 is used in billing to document the diagnosis of severe nonproliferative diabetic retinopathy. Accurate coding is essential for reimbursement and to reflect the complexity of the patient's condition.
What treatment options are available for this condition?
Treatment options include tight glycemic control through insulin therapy, regular ophthalmologic evaluations, and patient education on lifestyle modifications to prevent progression of retinopathy.
When should this code be used in clinical documentation?
This code should be used when documenting cases of diabetes with severe nonproliferative diabetic retinopathy, particularly when there are significant retinal changes that require monitoring and intervention.
