E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM code

#### Name of the Condition
- Other Specified Diabetes Mellitus with Proliferative Diabetic Retinopathy with Combined Traction Retinal Detachment and Rhegmatogenous Retinal Detachment, Bilateral
- ICD Code: E13.3543

#### Summary
This condition is a complex eye issue occurring in diabetic patients where advanced diabetic eye disease progresses to severe retinal complications in both eyes. It involves both a pulling away (traction) and a tear (rhegmatogenous) of the retina, which is crucial for vision.

#### Causes
The primary cause is diabetes mellitus, which can lead to damage in retinal blood vessels, promoting abnormal blood vessel growth (proliferative diabetic retinopathy) that can pull or tear the retina.

#### Risk Factors
- Long-standing or poorly controlled diabetes
- Hypertension
- High cholesterol
- Smoking
- Family history of diabetic retinopathy

#### Symptoms
- Sudden vision loss
- Seeing spots or floaters
- Blurriness
- Shadow or curtain effect over the field of vision

#### Diagnosis
- Detailed eye examination
- Fundus photography
- Optical coherence tomography (OCT)
- Fluorescein angiography to evaluate retinal blood flow

#### Treatment Options
- Laser surgery to seal off or shrink abnormal blood vessels
- Vitrectomy to remove or replace the gel in the eye
- Retinal detachment surgery to reattach the retina
- Anti-VEGF injections to reduce vascular growth

#### Prognosis and Follow-Up
With timely and adequate treatment, vision may be stabilized or improved, but there can be permanent vision loss. Regular follow-up with ophthalmologists is crucial to monitor disease progression.

#### Complications
- Severe vision loss or blindness
- Recurrence of retinal detachment
- Further progression of diabetic retinopathy

#### Lifestyle & Prevention
- Maintain tight blood glucose control
- Regular eye examinations
- Healthy diet and regular exercise
- Quit smoking

#### When to Seek Professional Help
Seek immediate medical attention if you experience sudden changes in vision, including loss of vision, flashes, or new floaters.

#### Additional Resources
- American Diabetes Association: [diabetes.org](https://www.diabetes.org/)
- National Eye Institute: [nei.nih.gov](https://www.nei.nih.gov/)
- Retina International: [retina-international.org](https://www.retina-international.org/)

#### Tips for Medical Coders
- Ensure accurate distinction between proliferative and non-proliferative retinopathy.
- Confirm bilaterality and presence of combined types of detachment.
- Avoid miscoding by double-checking details about the severity and complications.

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