AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor
Seidel Positive Bleb Status Post Glaucoma Surgery
A patient, who is status post glaucoma surgery due to bilateral primary open angle glaucoma, presented for an office visit. The provider’s diagnostic statement listed “Recurrent Seidel positive bleb of left eye, risk for endophthalmitis.” The provider also documented that there was no hypopyon or endophthalmitis of either eye, and ordered continued use of antibiotics. ICD-10-CM does not provide a specific code for leaking bleb following glaucoma surgery unless there is inflammation. What is the appropriate ICD-10-CM code assignment to capture a Seidel positive bleb without inflammation? ...
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Article Overview
This coding article addresses an eye-care postoperative complication scenario involving glaucoma surgery and a Seidel-positive bleb. It is intended for coders and clinicians working with ophthalmology documentation and ICD-10-CM assignment. The discussion focuses on how the article frames the complication, the related clinical context, and the broader issue of selecting an appropriate postoperative eye diagnosis code when the documentation does not show inflammation.
Why This Topic Matters
Postoperative eye findings can be documented in nuanced ways, and accurate ICD-10-CM selection depends on recognizing the clinical context described by the provider. Articles like this help coding professionals interpret ophthalmology documentation consistently and understand when a nonspecific postoperative complication category is being discussed.
What You Will Learn
- How postoperative glaucoma-surgery complications may be discussed in ophthalmology documentation
- How the article frames the coding challenge for a Seidel-positive bleb without inflammation
- How the scenario fits within ICD-10-CM postoperative eye complication coding considerations
- Why the clinical context around inflammation and infection status matters to code selection
Who Should Read This
- Medical coders
- Ophthalmology billers
- Clinical documentation specialists
- Eye-care providers
Codes Discussed
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