ICD-10 Code E08.3491 | Diabetes with severe nonp rtnop without macular edema, r eye Symptoms, Diagnosis, Billing

Diabetes with severe nonproliferative retinopathy without macular edema in the right eye is a serious complication of diabetes mellitus characterized by damage to the retinal blood vessels. This condition can lead to vision impairment and requires careful monitoring and management. The ICD-10 Code E08.3491 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this condition.

What is ICD-10 Code E08.3491 for Diabetes with severe nonp rtnop without macular edema, r eye?

ICD-10 Code E08.3491 represents diabetes with severe nonproliferative retinopathy without macular edema in the right eye. This code is used when documenting cases where patients exhibit significant retinal changes due to diabetes, but without the presence of macular edema. It is essential for accurate clinical documentation and billing, particularly in ophthalmology and endocrinology settings.

ICD-10 Code E08.3491 – Clinical Definition and Explanation of Diabetes with severe nonp rtnop without macular edema, r eye

Diabetes with severe nonproliferative retinopathy without macular edema in the right eye is caused by prolonged hyperglycemia leading to retinal vascular damage. This condition progresses through stages, and if left untreated, it can result in vision loss. Prompt medical attention is crucial to manage the disease and prevent complications.

Key Clinical Features:

• Presence of retinal hemorrhages and exudates.
• No evidence of macular edema.
• Potential for vision impairment if untreated.
• Commonly associated with poorly controlled diabetes.

ICD-10 Code E08.3491 for Diabetes with severe nonp rtnop without macular edema, r eye – SOAP Notes & Clinical Use

ICD-10 Code E08.3491 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to severe nonproliferative retinopathy. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code E08.3491 for Diabetes with severe nonp rtnop without macular edema, r eye Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E08.3491 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of severe nonproliferative retinopathy. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code E08.3491 – Diabetes with severe nonp rtnop without macular edema, r eye

Management of diabetes with severe nonproliferative retinopathy without macular edema in the right eye requires a multifaceted approach to prevent progression and preserve vision.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring of blood glucose levels.
• Routine eye examinations by an ophthalmologist.
• Patient education on diabetes management.

Infection Control:

How to Document Symptoms of Diabetes with severe nonp rtnop without macular edema, r eye (ICD-10 E08.3491) in SOAP Notes

Subjective:

• Patient reports blurred vision in the right eye.
• History of poorly controlled blood sugar levels.
• No complaints of eye pain or redness.
• Patient expresses concern about potential vision loss.

Objective:

• Visual acuity testing shows reduced vision in the right eye.
• Fundoscopic examination reveals retinal hemorrhages.
• No signs of macular edema observed.
• Blood glucose levels recorded at the time of examination.

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SOAP Note Guidelines for Diagnosing Diabetes with severe nonp rtnop without macular edema, r eye (ICD-10 Code E08.3491)

Assessment:

• Diagnosis: Diabetes with severe nonproliferative retinopathy without macular edema, right eye.
• ICD-10 Code: E08.3491.
• Contributing factors: Poor glycemic control.
• Risk of progression to proliferative retinopathy.

Plan:

• Initiate referral to ophthalmology for further evaluation.
• Educate patient on the importance of blood sugar control.
• Schedule follow-up appointments for monitoring.
• Consider pharmacologic interventions for diabetes management.

Treatment & Plan Section for ICD-10 Code E08.3491 – Diabetes with severe nonp rtnop without macular edema, r eye

• First-line pharmacologic treatments include insulin therapy or oral hypoglycemics.
• Non-pharmacologic strategies involve lifestyle modifications such as diet and exercise.
• Monitoring practices include regular eye exams and blood glucose tracking.
• Follow-up appointments should be scheduled every 3-6 months.

Using ICD-10 Code E08.3491 for Diabetes with severe nonp rtnop without macular edema, r eye in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or 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 (Ophthalmological examination) and 99213 (Established patient office visit).

Related ICD-10 Codes Often Used with Diabetes with severe nonp rtnop without macular edema, r eye

ICD-10 Code E08.3491 in Medical Billing and Insurance for Diabetes with severe nonp rtnop without macular edema, r eye

ICD-10 Code E08.3491 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes specific details about the patient's retinopathy.
• Use this code in conjunction with appropriate CPT codes for eye examinations.
• Document all relevant clinical findings to support the claim.
• Verify that the patient's insurance covers the necessary treatments.

Common CPT Pairings: