Vitreomacular Adhesion

Effective October 1, 2011, a unique code for vitreomacular adhesion (379.27) has been created. Although vitreomacular adhesion is not a new condition, from a healthcare perspective, there is a need to track this discrete and potentially sight-threatening condition, understand its true prevalence, and identify it separately from other traction disorders as well as associated or downstream conditions. Vitreomacular adhesion (VMA) is a condition affecting the macula, a small portion of the retina, which is important for central vision. VMA may lead to visual impairment or blindness and a variety of complications with similar symptoms. It occurs as a...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers vitreomacular adhesion as a distinct eye condition, why it was assigned a separate diagnosis code, and how it relates to other vitreous and macular disorders. It is relevant to ophthalmology, medical coding, and health information professionals who need to understand the condition, its associated findings, and the broad coding context discussed in the article.

Why This Topic Matters

The article helps readers recognize a specific retinal-vitreous condition that can affect central vision and may be associated with other eye diseases. It matters because the condition is identified separately for tracking and coding purposes, and the article places that distinction in the context of related diagnoses and a clinical scenario.

Article Sections

  1. Overview of vitreomacular adhesion

    Introduces the condition, why it is tracked separately, and the general clinical and coding context surrounding it.

  2. Pathophysiology and related eye conditions

    Describes how the condition develops and discusses related retinal and vitreous disorders in broad terms.

  3. Eye anatomy and visual impact

    Reviews the relevant anatomy of the macula, fovea, and vitreous body and explains why changes in these structures affect vision.

  4. Development of vitreomacular traction

    Explains how adhesion can persist after vitreous changes and how this can be associated with traction at the macula.

  5. Coding context and clinical example

    Presents the coding classification context and includes an example scenario involving diagnosis and procedure coding.

What You Will Learn

  • How vitreomacular adhesion is described in relation to the eye’s anatomy and aging changes
  • Which broader vitreous and macular conditions are discussed alongside the condition
  • Why the topic is relevant to diagnosis tracking and medical coding
  • How the article frames a clinical example involving eye findings and treatment

Who Should Read This

  • Medical coders
  • Ophthalmology practices
  • Health information management professionals
  • Clinical documentation specialists
  • Revenue cycle staff

Codes Discussed

  • ICD-9-CM: 379.27
  • ICD-9-CM: 361.81
  • ICD-9-CM: 362.54

Code Ranges Discussed

  • ICD-9-CM: 379
  • ICD-9-CM: 379.2

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