Ophthalomolgy

Description ICD10-CM Documentation Tips Description ICD10-CM Documentation Tips Code Tip Code Tip Cortical age-related , right H25.011 Right, left, or bilateral; Presenile, Open angle with borderline H40.011 Suspect, Open angle, Primary senile, traumatic, complicated; findings, low risk, right eye angle closure; type; acute vs., specific type (cortical, anterior or chronic; mild, moderate, severe, Cortical age-related cataract, left eye H25.012 Open angle with borderline H40.012 posterior subcapsular polar, etc) indeterminate findings, low risk, left eye Cortical age-related cataract, bilateral eye H25.013 Open angle with borderline H40.013 findings, low risk, bilateral eye

Anterior subcapsular polar age-related H25.031 Anatomical narrow angle, right H40.031 cataract,right eye eye Anterior subcapsular polar age-related H25.032 Anatomical narrow angle, right H40.032 cataract, left eye eye Anterior subcapsular polar age-related H25.033 Anatomical narrow angle, H40.033 cataract, bilateral bilateral Age-related nuclear cataract, right eye H25.11 Primary open-angle H40.11x2 glaucoma, moderate stage Age-related nuclear cataract, left eye H25.12 Rupture Code Tip

Age-related nuclear cataract, bilateral eye H25.13 Penetrating wound without S05.62xS Contusion vs. laceration; If foreign body of left eyeball, laceration, with or without sequela prolapsed or loss of intraocular tissue; penetrating wound, with or Combined forms of age-related cataract, H25.811 Contusion of eyeball and S05.11xA without foreign body right eye orbital tissues, right eye, initial encounter Combined forms of age-related cataract, left H25.812 Ocular laceration without S05.32xD eye prolapse or loss of intraocular tissue, left eye, subsequent Combined forms of age-related cataract, H25.813 Migrainesencounter Code Tip bilateral eye Code Tip Ophthalmoplegic migraine, G43.B1 With or without aura; intractable intractable or not intractable; type Acute follicular conjunctivitis, right eye H10.011 Indicate left, right or bilateral and Migraine with aura, G43.111 (ophthalmologic, persistent); with type intractable, with status or without status migrainosus Acute follicular conjunctivitis, left eye H10.012 Opticmigrainosus neuritis Code Tip

Acute follicular conjunctivitis, bilateral eye H10.013 , right eye H46.01

Acute atopic conjunctivitis, right eye H10.11 Optic papillitis, left eye H46.02

Acute atopic conjunctivitis, left eye H10.12 Optic papillitis, bilateral eye H46.03

Acute atopic conjunctivitis, bilateral H10.13 Retrobulbar neuritis, bilateral H46.13

Serous conjunctivitis, except viral, right eye H10.231 Code Tip Serous conjunctivitis, except viral, left eye H10.232 Vertical strabismus, right eye H50.21 Indicate left, right or bilateral and type Serous conjunctivitis, except viral, bilateral H10.233 Vertical strabismus, left eye H50.22 eye Diabetes Code Tip Duane's syndrome, right eye H50.811

Type I No complications E10.9 Indicate Type I or Type II and all Duane's syndrome, left eye H50.812 manifestations. Use linking TYPE II No complication E11.9 Brown's sheath syndrome, H50.611 statement (i.e. diabetic cataract) right eye Type 2 diabetes mellitus with proliferative E11.359 Brown's sheath syndrome, left H50.612 diabetic without eye Foreign Body Code Tip * Indicate Episode of Care (initial, subsequent, sequela) for injuries or fractures Foreign body in , right eye, initial T15.01XA Right, left, or bilateral; location; * Always indicate left, right or bilateral encounter associated with injury (corneal Foreign body in cornea, left eye, initial T15.02XA abrasion, laceration, penetrating * These are intended to be examples not a comprehensive listing. Please encounter wound; etc) refer to the official ICD-10-CM code set for details Foreign body in conjunctival sac, right eye, T15.11XD Questions: [email protected] Foreignsubsequent body encounter in conjunctival sac, left eye, T15.12XD subsequent encounter