E11. 22. 33 - other international versions of ICD-10 E11. 1 result found: ICD-10-CM Diagnosis Code E11. 3399 With severe nonproliferative retinopathy, with macular edema E11. 2019 MIPS Quality Measures for Claims Based Reporting or 2026F or 3072F * or G9714 7 standard field stereoscopic photos with interpretation (documented and reviewed)E11. Photocoagulation is designed to burn and seal unwanted blood vessels, thus preventing hemorrhage. 00 or G70. 3419 With severe non-proliferative retinopathy, without macular edema E11. Instructions. 1 C56. 10 became effective on October 1, 2023. This revision has a retroactive effective date of 2/26/2018. reference drug program proton pump inhibitors (ppis) section 3 – diagnosis for requested medication gastroesophageal reflux disease (gerd), or reflux esophagitis, or duodenal. E11. Diabetic retinopathy is progressive damage to the small blood vessels in the retina that may result in loss of vision. 0 CPT only copyright 2022 American Medical Association. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. E11. Description: Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy. Shoe trauma, in concert with loss of protective sensation and concomitant foot deformity, is the leading eventScanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. 3311 - E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. This. E13. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3412 e10. Denominator Exception: Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy (eg, allergy, intolerance, pregnancy, renalPercentage of endothelial keratoplasty patients with a best corrected visual acuity of 20/40 or better at 90 days after surgery☐ E11. This is a 34 percent increase from the estimated $245 billion spent on diabetes in 2012 (American Diabetes Association, 2018). Proliferative Diabetic Retinopathy Other) The following codes are effective beginning October 1, 2016. 3393: Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3120, h35. Methods. Abstract: Fundus photography Fundus photography involves the use of a retinal camera to document abnormalities of of the retina and disease processes affecting the eye, in order to follow the progress of such disease. Performance Not Met: Most recent hemoglobin A1c (HbA1c) level < 7. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial fluid and produce. Diagnosis Code: E11. 3313 bilateral E11. 3393 X E11. E11. This revision has a retroactive effective date of 2/26/2018. OCT, especially SCODI, produces high resolution, cross-sectional tomographic images of ocular structures and is used for the evaluation of the optic nerve head, nerve fiber layer, and retina. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 33. 84478. It is the goal of these diagnostic imaging tests to discriminate among patients with normal intraocular pressures (IOP) who have glaucoma, patients with elevated IOP who have. Toggle Menu. 3412 E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Ambulatory infusion pump is an electrical or battery operated device, which is used to deliver solutions containing a parenteral drug under pressure at a regulated flow rate. Cholinesterase inhibitors . Without macular edema and other specified diabetes. 3513, E11. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . E13. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3411-E11. 3393 Type 2 diabetes mellitus with moderate. 0% (3051F) OR. There are multiple factors associated with cataract development. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. E11. 3412 Limited proprietary coding is contained in the measure specifications for convenience. It is the leading cause of blindness in adults between 20-74 years of age. Internal Medical Policy Committee 7-21-2022 Coding update - Effective September 05, 2022. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3299 With moderate nonproliferative retinopathy, with macular edema E11. History/Background and/or General Information. 312, H44. Under Associated Contractor Numbers added 11201, 11301, 11401, and 11501. Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy. E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3393 Diabetes with Severe NPDR with Macular Edema Type 2 Type 1 ☐ E11. 3391 ☐ E11. 5. 3411* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. E11. A distinct numeric result is required for numerator compliance. Page 4 of 6 Kidney Health Evaluation for Patients With Diabetes (KED) HEDIS definition This measure evaluates members 18 to 85 years of age with diabetes (type 1 and type 2) whoEffective April 1, 2023 through June 30, 2023. Significance and Use 5. E11. This article is being revised in order to adhere to CMS requirements per chapter 13, section 13. 3391 - E11. E11. Miscellaneous central nervous system agents . The following services are considered to be components of routine foot care, regardless of the provider rendering the service: Cutting or removal of corns and calluses; Clipping, trimming, or debridement of nails, including debridement of mycotic nails; Shaving, paring, cutting or removal of keratoma, tyloma, and heloma;Instructions. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. This measure is to be submitted a minimum of once per performance period for patients with diabetes seen during the performance period. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. N/A. 313, H44. The following code(s) above E11. The patient's primary diagnostic code is the most important. The supplier is responsible for ensuring that there is an appropriate. 3123, h35. 9 D09. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. This is a 41 percent increase from the estimated $174 billion spent on diabetes in 2007 (ADA EconomicGlaucoma is a leading cause of blindness, and a disease for which treatment methods clearly are available and in common use. A type 1 excludes note indicates that the code excluded should never be used at the same time as E11. 8E11. . 3411 e11. Avacincaptad pegol intravitreal solution (Izervay) may be considered medically necessary for the treatment of individuals with the following condition: Geographic atrophy (GA) secondary to nonexudative (dry) AMD; and. In 2017, diabetes cost the U. Ambulatory infusion pump is an electrical or battery operated device, which is used to deliver solutions containing a parenteral drug under pressure at a regulated flow rate. ICD-10-CM Diagnosis Code E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3312 left eye E11. Short description: Type 1 diab with mod nonp rtnop without macular edema, bi The 2024 edition of ICD-10-CM E10. 3313 bilateral E11. When performed laparoscopically, the term laparoscopic sleeve gastrectomy (LSG) is used. ICD-10 code E11. 3311 - E11. 3493 X E11. 3513, and E13. 8 D27. For electronic claims, Loop/Element 2400 SV101-7 must be completed for Not Otherwise Classified (NOC) codes. No substantive changes were made to the active LCD. 12 Clavulanate Timentin Antibiotic X X X X X Clindamycin Cleocin Antibiotic X X X X X Dantrolene Dantrium Antidote X X X X Cost invoice with NDC required with claim. MNT may be covered for the management of obesity. 3499 With proliferative retinopathy, with macular edema E11. 0% (3044F) OR. an estimated $327 billion: $237 billion in direct medical costs and $90 billion in reduced productivity. Foot ulceration is the most common single precursor to lower extremity amputations among persons with diabetes. 339 for Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema - Non-billable. E11. 83721. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 2This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Routine Foot Care. E11. 3393 X E11. docx from Financial Management MISC at CDI College of Business, Technology and Health Care. 3, F84. Description Right Eye Left Eye Bilateral Unspecified; With macular edema and other specified diabetes. 3512. 5 and F84. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Summary of Evidence. 22* Type 2 diabetes mellitus with diabetic chronic kidney disease. E11. , 2019; Hoerger et al. 3 D09. The most recent quality-data code submitted will be used for performance calculation. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. A significant eye injury. It is the goal of these diagnostic imaging tests to. . Coverage Indications, Limitations, and/or Medical Necessity. ERG measures the electrical activity generated by neural and non-neuronal cells in the retina in response to a light stimulus. 355. e. 3 C56. Chronic Kidney Disease (CKD) is a major driver of morbidity, mortality, and healthcare costs in the United States. 331. E11. Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12. This measure is to be submitted a minimum of once per performance period for patients with a diagnosis of diabetes seen during the performance period. 3391 e10. Search; Mission; Disclaimer; Acknowledgement; Contact UsProcedure during the performance period (CPT): 66840, 66850, 66852, 66920, 66930, 66940, 66982, 66983, 66984Coverage Indications, Limitations, and/or Medical Necessity. 3593, e11. 3393 2) Patients with diabetes should be screened annually for chronic kidney disease. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. E11. 329, E11. 3393 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 33 may differ. 3419 With severe nonproliferative retinopathy, without macular edemaCriteria. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3392 left eye E11. 3393 Type 2 diabetes mellitus. , measurement of the ability to see points of light at varying locations on a curved surface. Under Group 1: Codes added ICD-10 codes E11. Retinal disorders are among the most common causes of severe and permanent vision loss. E11. Short description: Type 2 diab with mod nonp rtnop without macular edema, l eye The 2024 edition of ICD-10-CM E11. 10 - R11. 2019 Clinical Quality Measure Flow Narrative for Quality ID #126 NQF #0417: Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation Please refer to the specific section of the specification to identify the denominator and numerator information for useICD10 CPT codes 84436 84439 84443 and or 84479 Thyroid Testing Code A18. Short description: Type 2 diab with mod nonp. 3393 Type 2 diabetes mellitus with moderate. 3522 e11. 3411 ☐E10. E11. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3391 - E11. ). 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Before sharing sensitive information, make sure you're on a federal government site. Scanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. Scanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. The following services are considered to be components of routine foot care, regardless of the provider rendering the service: Cutting or removal of corns and calluses; Clipping, trimming, or debridement of nails, including debridement of mycotic nails; Shaving, paring, cutting or removal of keratoma, tyloma, and heloma;It is performed most commonly without anesthesia to: relieve pain, treat infection (bacterial, fungal, or viral), temporarily remove an anatomic deformity such as onychauxis (thickened nail), or certain types of onychocryptosis (ingrown nail), expose subungual conditions for the purpose of treatment as well as diagnosis (biopsy, culture,. 3511. E11. 3293 X E11. 3393 severe yes e10. The 2024 edition of ICD-10-CM E10 became effective on October 1, 2023. 638, E13. 3492 e10. 3313 is a billable diagnosis code used to specify a medical diagnosis of type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Under Associated Contractor Numbers added 11201, 11301, 11401, and 11501. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. E11. 3393 Diabetes with Severe NPDR with Macular Edema Type 2 Type 1 ☐ E11. 3412 E11. E11. Full field electroretinogram (ERG) is used to detect loss of retinal function or distinguish between retinal and optic nerve lesions. It is the goal of these diagnostic imaging tests to discriminate among patients with normal intraocular pressures (IOP) who have glaucoma, patients with elevated IOP who have. Pay lesser of billed charges and cost invoice. 3393: Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye - Type 2 diabetes mellitus with. 3122, h35. 37X9. 3411 - E11. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3391 - E11. E11. Other Contractor Local Coverage Determinations. 3521 e11. E11. +1 250-656-3393. Scanning computerized ophthalmic diagnostic imaging allows earlier detection of glaucoma and more sophisticated analysis for ongoing management. Currently, CGM system sensors can be used three (3)-90 days before replacement. Short description: Type 2 diab with moderate nonp rtnop with macular edema, bi The 2024 edition of ICD-10-CM E11. The surgery involves excision of the lateral aspect of the stomach, leaving a much reduced, tubular stomach. 2) Patients with diabetes should be screened annually for chronic kidney disease. 33 contain annotation back-referencesE11. Quality ID #117 (NQF 0055): Diabetes: Eye Exam - Healthmonix. At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. “Frequency of Laboratory Tests,” TrailBlazer Health Enterprises LCD, (00400) L20354, (00900) L14227. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 331 Internal Medical Policy Committee 3-23-2022 Annual Review-no changes in criteria. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Unlisted codes A4641, A9698, A9699, J1599, J3490, J3590, J7199, J9999, J7999, Q2039, and Q4100 billed to the Part B MAC are priced manually. Focal or foveal ERG (fERG) is useful in providing information regarding. Eligible clinicians who have given a prescription to the patient for or whose patient is currently taking a combination medication therapy, which contains either an angiotensin convertingThe 2024 edition of ICD-10-CM E11. E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Performance Not Met: Most recent hemoglobin A1c (HbA1c) level greater than or equal to 7. an estimated $327 billion: $237 billion in direct medical costs and $90 billion in reduced productivity. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial fluid and produce. 3130, h35. 3311 ☐E10. 0 CPT only copyright 2020 American Medical Association. Long Description: Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral. 8. mil. 3393 bilateral E11. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. 3311 e11. 3412 E11. 9 and E11. 3391 ☐E10. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. All rights reserved. 0 CPT only copyright 2022 American Medical Association. Scanning computerized ophthalmic diagnostic imaging allows earlier detection of glaucoma and more sophisticated analysis for ongoing management. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Denominator Exception: Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy (eg, allergy, intolerance, pregnancy, renal☐ E11. The . 3391 - E11. Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema. . 3413: Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with. They are not repeated. Pay lesser of billed charges and cost invoice. This measure. This is a 41 percent increase from the estimated $174 billion spent on diabetes in 2007 (ADAPerformance Met: Hemoglobin A1c level was not performed during the measurement period (12 months) (3046F with 8P) OR. 3393* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3391 - E11. 321, E09. 3491 e10. 3412 E11. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 331,E11. 9 C73 C75. 339 became effective on October 1, 2023. 37X2. Pegcetacoplan (SyfovreTM) is an intravitreal injection for the treatment of GA that works by slowing progression of GA lesions that can permanently damage the macula. Access to this feature is available in the following products: E11. Quality ID #191 (NQF 0565): Cataracts: 20/40 or. 11*, E85. 3412 E11. 99504, 99509, e0100, e0105, e0130, e0135, e0140, e0141, e0143, e0144, e0147, e0148, e0149, e0163, e0165, e0167, e0168, e0170, e0171, e0250, e0251, e0255, e0256, e0260. E11. g. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3413 severe no e10. Find Tim Hortons in Sidney, with phone, website, address, opening hours and contact info. 3391 ☐ E11. Instructions: This measure is intended to reflect the quality of services provided for the patients receiving cataract surgery. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. . 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. Abstract: Fundus photography Fundus photography involves the use of a retinal camera to document abnormalities of of the retina and disease processes affecting the eye, in order to follow the progress of such disease. 89 C79. 8Cimetidine HCI Tagamet Anti-histamine X X X X Effective 10/1/2015 ICD-10 diagnosis codes R11. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Performance Not Met: Most recent hemoglobin A1c. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 2, F84. 339 is based on the following Tabular structure: Chapter 4: Endocrine,. This measure may be submitted by Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on services provided and. Revisions Due To ICD-10-CM Code Changes • 10/01/2016 R6 Added multiple 2017 ICD-10-CM codes to the ICD-10 Codes that Support Medical Necessity section due to the annual ICD-10-CM update. E11. 9 and E11. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. This was a coding algorithm development and comparison study; no patient selection or analysis of patient data was performed. 3393 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0, R11. 3412 E11. Proliferative Diabetic Retinopathy Other) The following codes are effective beginning October 1, 2016. E11. Clinicians who indicate modifier 55, postoperative management. 3292 E11. 1 result found: ICD-10-CM Diagnosis Code E11. E11. 3412 E11. 3413 bilateral2022 Clinical Quality Measure Flow for Quality ID #117 (NQF 0055): Diagnosis: measurement period:Global Edits to Measure Specifications: • Added Meaningful Measures Category in Titles • Updated Language for Information Regarding Non-Billable CodingE11. 3511 E11. 1 C56. 3393. Revisions Due. E11. 3392 e11. 3393 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema,. 3491 e10. 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3 C56. 1. E11. 3411 E11. All rights reserved. 3411 ☐E10. 3512 E11. Cholinesterase inhibitors . 341, E10. 3411 e10. Description Prescription Description. A single intravitreal injection of ocriplasmin (Jetrea) may be considered medically necessary for treatment of an eye* with symptomatic VMA when ALL of the following criteria are met: Individual is greater than or equal to 18 years of age; and Optical coherence tomography (OCT) demonstrates ALL of the following: There is vitreous. 3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Existing ICD-9-CM algorithms were compiled and evaluated by the study authors for the following 10 clinical conditions: acute myocardial infarction (AMI), cardiac arrhythmia, chronic kidney disease (CKD),. 3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without. 3492 E11. E11. 1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. 3593, effective for services rendered on or after 10/1/2016. 3311 E11. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. There are multiple factors associated with cataract development. 33 - other international versions of ICD-10 E11. There are multiple factors associated with cataract development. 3312 ☐ E11. 3492 e10. 1 VEGF is. Coverage Indications, Limitations, and/or Medical Necessity. The sleeve gastrectomy (SG) is a surgical procedure performed in either an open or laparoscopic manner. This revision has a retroactive effective date of 2/26/2018. 3312 ☐ E11. E13. All rights reserved. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. 3393 for bilateral; Use E11. 10*, E11. Donepezil Galantamine ; Rivastigimine. 10/10/2019. November 2020 Page 1 of 11. (CDC Fact Sheet 2014). 3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral E11. 3492 E11. AND Patient encounter during the performance period (CPT): 66840, 66850, 66852, 66920, 66930, 66940, 66982, 66983, 66984 WITHOUT Modifier: 56 or 55 AND NOT DENOMINATOR EXCLUSION: Any of the following significant ocular conditions that impact the visual outcome of surgeryMeasure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. Lipids: 80061. 23, H44. Macular edema following RVO; or. This sensor operates using signal and low reference. Diabetes is a long lasting disease marked by high blood glucose levels, resulting from the body's inability toScanning computerized ophthalmic diagnostic imaging (SCODI) allows for early detection of glaucomatous damage to the nerve fiber layer or optic nerve of the eye. 3392 E11. Initial authorization will be for a period of 12 months. 3411* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye E11. Description Right Eye Left Eye Bilateral Unspecified; With macular edema and other specified diabetes. 3412 ☐. 81 C56. The following code(s) above E11. 3411 Type 2 diabetes mellitus with. Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy in any part of the measurement period who had a retinal or. " A pale or swollen optic nerve documented by a recent examination.