Forum - Questions & Answers

Aug 11th, 2009 - Walter4902 2 

Vitreomacular traction

Does anyone know the dx code for Vitreomacular traction?

Aug 11th, 2009 - nmaguire   2,606 

traction

It;s hard to assign a diagnosis code without more clinical information. You may be left with other disorders of vitreous. It may be a macular hole diagnosis.
Example of possible etiology: Proliferative diabetic retinopathy (PDR), is characterized by the onset of neovascularization on the inner surface of the retina induced by the retinal ischemia. New vessels at the optic disc (NVD) and new vessels elsewhere in the retina (NVE) are prone to bleed, resulting in vitreous hemorrhage. These new vessels may undergo fibrosis and contraction; this and other fibrous proliferation may result in epiretinal membrane formation, vitreoretinal traction bands, retinal tears, and traction or rhegmatogenous retinal detachments. When new vessels are accompanied by vitreous hemorrhage, or when new vessels at the optic disc occupy greater than or equal to about 1/4 to 1/3 disc area, even in the absence of vitreous hemorrhage, PDR is said to be in the high-risk stage



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