Clarify ICD-10-CM coding for common ocular conditions

August 25th, 2020

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

Article Overview

This article is a coding-focused review for eye care and revenue cycle professionals. It covers broad ICD-10-CM topics related to age-related macular degeneration, glaucoma, and selected 2021 Chapter 7 updates, with attention to laterality, staging, and code-set changes.

Why This Topic Matters

Understanding the referenced ICD-10-CM updates helps coders and billing staff interpret documentation consistently and stay current with changes that affect common ophthalmic diagnoses.

Article Sections

  1. AMD

    Overview of age-related macular degeneration and its broad clinical context, followed by the related ICD-10-CM classification structure.

  2. Glaucoma

    General discussion of glaucoma, its clinical context, and coverage-related screening considerations for higher-risk patients.

  3. Coding for glaucoma

    ICD-10-CM classification topics for glaucoma, including laterality and staging structure, along with guidance referenced from the coding manual.

  4. ICD-10-CM updates

    Summary of 2021 ICD-10-CM changes affecting corneal dystrophies and eye movement-related code descriptors.

What You Will Learn

  • How the article frames common ophthalmic diagnoses within ICD-10-CM
  • What categories of glaucoma coding and staging are discussed
  • Which types of 2021 ICD-10-CM eye-related updates are highlighted
  • How the article organizes laterality-related changes for certain eye conditions

Who Should Read This

  • Medical coders
  • Billing professionals
  • Ophthalmology practices
  • Compliance staff
  • Revenue cycle professionals

Codes Discussed

  • ICD-10-CM: H35.31
  • ICD-10-CM: H35.32
  • ICD-10-CM: H35.3111
  • ICD-10-CM: H40.11
  • ICD-10-CM: H40.1111
  • ICD-10-CM: H40.1112
  • ICD-10-CM: H40.2
  • ICD-10-CM: H40.20
  • ICD-10-CM: H40.21
  • ICD-10-CM: H40.212
  • ICD-10-CM: H18.55
  • ICD-10-CM: H18.551
  • ICD-10-CM: H18.552
  • ICD-10-CM: H18.553
  • ICD-10-CM: H18.559
  • ICD-10-CM: H55.81
  • ICD-10-CM: H55.82

Code Ranges Discussed

  • ICD-10-CM: H35.31-
  • ICD-10-CM: H35.32-
  • ICD-10-CM: H40.-
  • ICD-10-CM: H40.11-
  • ICD-10-CM: H40.111-
  • ICD-10-CM: H40.112-
  • ICD-10-CM: H40.113-
  • ICD-10-CM: H40.119-
  • ICD-10-CM: H40.2-
  • ICD-10-CM: H40.20-
  • ICD-10-CM: H40.21-

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