Patient presents with symptoms consistent with Type 2 Diabetes Mellitus and bilateral cataracts.  The patient reports blurred vision, increased glare, and difficulty with night driving.  Additionally, the patient experiences polyuria, polydipsia, and polyphagia.  Review of systems reveals fatigue and occasional paresthesia.  Past medical history is significant for hypertension and hyperlipidemia.  Family history is positive for Type 2 Diabetes.  Physical examination reveals decreased visual acuity in both eyes, lens opacities observed upon slit-lamp examination, and elevated blood pressure.  Laboratory results indicate elevated HbA1c (7.8%), fasting blood glucose (160 mgdL), and elevated cholesterol.  Diagnosis of Type 2 Diabetes Mellitus with bilateral cataracts is confirmed.  Treatment plan includes initiation of metformin for glycemic control, lifestyle modifications including diet and exercise, referral to ophthalmology for cataract surgery evaluation and management, and continued monitoring of blood glucose, HbA1c, lipid panel, and blood pressure.  Patient education provided on diabetes management, including medication adherence, self-monitoring of blood glucose, and importance of regular eye exams.  Follow-up appointment scheduled in three months to assess treatment efficacy and disease progression.  ICD-10 codes E11.9 and H26.9 assigned.  Medical billing codes for diabetes management and cataract evaluation and management will be applied accordingly.