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Use E11.31 when the provider documents diabetic retinopathy but does not specify: Type Laterality (right, left, bilateral) Whether macular edema is present Examples of documentation that map to E11.31: Diabetic retinopathy Retinopathy due to diabetes Changes consistent with diabetic eye disease If the provider mentions macular edema or specifies the severity (mild, moderate, severe), a more specific code from the E11.32E11.39 range is required

The fundamental difference is mechanism