AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Age-Related Macular Degeneration
Codes H35.311, Nonexudative age-related macular degeneration, right eye, H35.312, Nonexudative age-related macular degeneration, left eye, H35.313, Nonexudative age-related macular degeneration, bilateral, and H35.319, Nonexudative age-related macular degeneration, unspecified eye, have been created for nonexudative age-related macular degeneration. Seventh characters are assigned to designate the stage of the disease: 0 stage unspecified1 early dry stage2 intermediate dry stage3 advanced atrophic without subfoveal involvement4 advanced atrophic with subfoveal involvement Codes have also been created for exudative age-related macular degeneration: H35.321, Exudative age-related macular degeneration, right eye...
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Article Overview
This article explains age-related macular degeneration at a broad clinical level and summarizes the related ICD-10-CM coding framework for nonexudative and exudative presentations. It is intended for coding professionals, billing staff, and eye-care documentation teams who need to understand how the topic is organized in coding guidance and how the article frames the condition by eye laterality and disease stage. The article also includes a brief patient scenario that illustrates the topic in practice without providing a full coding tutorial.
Why This Topic Matters
AMD is a common eye condition with multiple ICD-10-CM categories tied to laterality and stage, so accurate understanding of the article helps readers recognize when the topic is relevant to documentation review, claim support, and diagnosis selection.
Article Sections
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Coding structure for nonexudative age-related macular degeneration
Summarizes the coding organization for dry age-related macular degeneration, including laterality and staging concepts.
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Seventh character staging for nonexudative disease
Describes the stage categories associated with the nonexudative form of the condition.
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Coding structure for exudative age-related macular degeneration
Summarizes the coding organization for wet age-related macular degeneration, including laterality and staging concepts.
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Seventh character staging for exudative disease
Describes the stage categories associated with the exudative form of the condition.
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Clinical overview of age-related macular degeneration
Provides a general medical overview of the condition, including its effect on vision and broad risk factors.
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Patient scenario
Presents a brief office-visit scenario involving eye findings and follow-up recommendations in the context of age-related macular degeneration.
What You Will Learn
- How the article organizes age-related macular degeneration into broad dry and wet categories
- How laterality and stage are discussed in relation to the condition
- What general clinical features are associated with the disorder
- What kinds of documentation topics are illustrated by the included patient scenario
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Ophthalmology practices
- Clinical documentation reviewers
Codes Discussed
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