3rd party news: 2019 edition - nebraska.aoa.org icd-10... · the codes included in this id- í ì...

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2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter

Again this year the NOA has created a special ICD-10 issue of the 3rd Party Newsletter. This edition incorporates the additions and embellishments found in the 2019 revision of ICD-10 CM. These new diagnosis codes must be used when filing claims on or after October 1 of

this year, just two months from now.

How or why should you use this resource? If your claim’s diagnosis codes are dependent on electronic health record software, these tables will help confirm the accuracy of your EHR ICD-10 diagnosis coding. If you file otherwise, we think you’ll find the following pages more comprehensive

and easier to follow than some other resources.

You can find a diagnosis code by using the index above, which is based on anatomical location. Or, easier yet, use your computer’s CNTRL-F function. Simply hold down the control key on your keyboard and then strike the F key. A box will appear where you can enter the diagnosis

term or code of interest.

The codes included in this ICD-10 3rd Party Newsletter are those most commonly used by ODs, but our tables are not all-inclusive. Should you need additional help, another resource can be found online at ICD-10 Data.com. If need more help, you have internet access to the entire list of ICD-10 diagnoses online. Go to page 14 of this document for instructions on downloading the entire 2018 ICD-10 CM TABULAR LIST and the 2018

ICD-10 INDEX.

We believe our tables to be error free; however, remember that Dr. Quack is a feather-brained duck! We’ve done our best, but there are no

guarantees...use at your own risk!! Thanks to Jen Petersen and Dr. Jeremy Baumfalk for their help on previous issues of this document.

Note on colors: the codes in the green boxes remain unchanged from 2018. The codes in the blue boxes are new or revised for 2019. The codes in

either colored box should be billable; however, avoid any code entitled “unspecified”. Do not bill codes in white boxes.

• Refractive Error P.2.

• Lids and Lashes P.3.

• Lid malignancies P.2.

• Cornea Pg.4.

• Conjunctiva P.5.

• A/C, Pupils, Iris, Sclera P.6.

• Lens P.6.

• Vitreous Retina Choroid P.7.

• Diabetic Retinopathy P.8.

• IOT and Glaucoma Pp. 9 & 10

• Optic Nerve P.10.

• Macula, Macular Degeneration

P.11.

• Functional (Amblyopia, phorias,

etc.) P.11

• Strabismus P.12.

• Systemic Dx. P.12.

• Visual Field Defect P.12

• Blindness & Low Vision P.13.

• Other (HA, drug therapy, etc.)

P.13.

• Instructions on downloading en-tire 2018 ICD-10 CM index and

tabular list P.14.

CONTENTS

3rd Party News: 2019 ICD-10 CM Edition

Use CNTRL- F to search for a specific diagnosis, term, or ICD code.

http://www.icd10data.com/ICD10CM

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RETURN TO INDEX PAGE

Refractive Error

ICD 9 Dx ICD 10 OD OS OU Unspecified Eye

367.21 Regular Astigmatism H52.221 H52.222 H52.223 H52.229

367.22 Irregular Astigmatism H52.211 H52.212 H52.213 H52.219

367.0 Hyperopia H52.01 H52.02 H52.03 H52.00

367.1 Myopia H52.11 H52.12 H52.13 H52.10

Myopia- Degenerative w/ choroidal neovascularization H44.2A1 H44.2A2 H44.2A3 H44.2A9

Myopia- Degenerative w/ macular hole H44.2B1 H44.2B2 H44.2B3 H44.2B9

Myopia- Degenerative w/ retinal detachment H44.2C1 H44.2C2 H44.2C3 H44.2C9

Myopia- Degenerative w/ foveoschesis H44.2D1 H44.2D2 H44.2D3 H44.2D9

Myopia- Degenerative w/ other maculopathy H44.2E1 H44.2E2 H44.2E3 H44.2E9

367.4 Presbyopia H52.4

V72.0

Routine Eye Exam Z01.0

…...W/O abnormal findings Z01.00

…….Wth abnormal findings Z01.01

Lid Malignancies/neoplasms

ICD 9 Dx ICD 10 OD - Rt Upper

& Lower Lid RT Upper lid RT Lower Lid OD Unspec.Lid

OS - Lt Upper

& Lower Lid LT Upper Lid LT Lower Lid OS Unspec. Lid OU

Unspecified Eye & Un-

specified Lid

Malignant melanoma of eyelid, including canthus C43.1 C43.111 C43.112 C43.11 C43.121 C43.122 C43.12

Merkel cell carcinoma of eyelid, including canthus C4A.1 C4A.111 C4A.112 C4A.11 C4A.121 C4A.122 C4A.12

Unspecified malignant neoplasm of skin of eyelid, including canthus C44.10 C44.1021 C44.1022 C44.102 C44.1091 C44.1092 C44.109

Basal cell carcinoma of skin of eyelid, including canthus C44.11 C44.1121 C44.1122 C44.112 C44.1191 C44.1192 C44.119

Squamous cell carcinoma of skin of eyelid, including canthus C44.12 C44.1221 C44.1222 C44.122 C44.1291 C44.1292 C44.129

Sebaceous cell carcinoma of skin of eyelid, including canthus C44.13 C44.1321 C44.1322 C44.132 C44.1391 C44.1392 C44.139 C44.131

Other specified malignant neoplasm of skin of eyelid, inculding canthus C44.19 C44.1921 C44.1922 C44.192 C44.1991 C44.1992 C44.199

Melanoma in situ of eyelid, including canthus D03.1 D03.111 D03.112 D03.11 D03.121 D03.122 D03.12

Carcinoma in situ of skin of eyelid, including canthus D04.1 D04.111 D04.112 D04.11 D04.121 D04.122 D04.12

Other benign neoplasm of skin of eyelid D23.1 D23.111 D23.112 D23.11 D23.121 D23.122 D23.12

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2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Lids and Lashes

Dx ICD 10 OD - Rt Upper &

Lower Lid RT Upper lid RT Lower Lid

OD Un-

spec.Lid

OS - Lt Upper &

Lower Lid LT Upper Lid LT Lower Lid OS Unspec. Lid OU

Unspecified Eye &

Unspecified Lid

Blepharitis, Unspecified H01.00 H01.00A H01.001 H01.002 H01.003 H01-00B H01.004 H01.005 H01.006 H01.009

Blepharitis, Ulcerative H01.01 H01.02A H01.011 H01.012 H01.013 H01-01B H01.0104 H01.015 H01.016 H01.019

Blepharitis, Squamous H01.02 H01.01A H01.021 H01.022 H01.023 H01-02B H01.024 H01.025 H01.026 H01.029

Blepharoconjunctivitis, Unspecified H10.501 H10.502 H10.503 H10.509

Blepharochalsis, Unspecified H02.31 H02.32 H02.33 H02.34 H02.35 H02.36 H02.30

Blepharospasm G24.5

Chalazion H00.11 H00.12 H00.13 H00.14 H00.15 H00.16 H00.19

Dacryocystitis, Unspecified H04.301 H04.302 H04.303 H04.309

Dermatochalasis H02.831 H02.832 H02.833 H02.834 H02.835 H02.836 H02.839

Dermatitis Allergic H01.111 H01.112 H01.113 H01.114 H01.115 H01.116 H01.119

Ecchymosis: Contusion of eyelid & periocular area

…..Initial visit S00.11XA S00.12XA S00.10XA

…..Subsequent visit S00.11XD S00.12XD S00.10XD

…..Sequela visit S00.11XS S00.12XS S00.10XS

Entropian H02.001 H02.002 H02.003 H02.004 H02.005 H02.006 H02.009

Ectropian, Unspecified H02.10 H02.101 H02.102 H02.103 H02.104 H02.105 H02.106 H02.109

Ectropian, Cicatrical H02.11 H02.111 H02.112 H02.113 H02.114 H02.115 H02.116 H02.119

Ectropian, Mechanical H02.12 H02.121 H02.122 H02.123 H02.124 H02.125 H02.126 H02.129

Ectropian, Senile H02.13 H02.131 H02.132 H02.133 H02.134 H02.135 H02.136 H02.139

Ectropian, Spastic H02.14 H02.141 H02.142 H02.143 H02.144 H02.145 H02.146 H02.149

Ectropian, Paralytic H02.15 H02.151 H02.152 H02.153 H02.154 H02.155 H02.156 H02.159

Lagophthalmos, Unspecified H02.20 H02.20A H02.201 H02.202 H02.203 H02.20B H02.204 H02.205 H02.206 H02.20C H02.209

Lagophthalmos, Cicatrical H02.21 H02.21A H02.211 H02.212 H02.213 H02.21B H02.214 H02.215 H02.216 H02.21C H02.219

Lagophthalmos, Mechanical H02.22 H02.22A H02.221 H02.222 H02.223 H02.22B H02.224 H02.225 H02.226 H02.22C H02.229

Lagophthalmos, Paralytic H02.23 H02.23A H02.231 H02.232 H02.233 H02.23B H02.234 H02.235 H02.236 H02.23C H02.239

Epiphoral, Unspecified H04.20 H04.201 H04.202 H04.203 H04.209

Epiphoria , w/excess lacrimation H04.211 H04.212 H04.213 H04.219

Epiphoria, insufficient drainage H04.22 H04.221 H04.222 H04.223 H04.229

Eyelid Edema H02.841 H02.842 H02.843 H02.844 H02.845 H02.846 H02.849

Hordeolum Externum H00.011 H00.012 H00.013 H00.014 H00.015 H00.016 H00.019

Meibomianitis (Hordeolum Internum) H00.021 H00.022 H00.023 H00.024 H00.025 H00.026 H00.029

Meibomian Gland Dysfunction H02.88 H02.88A H02.881 H02.882 H02.883 H02.88B H02.884 H02.885 H02.886 H02.889

Ptosis, Unspecified H02.401 H02.402 H02.403 H02.409

Ptosis, Brow H57.81 H57.811 H57.812 H57.813 H57.819

Periorbital Cellulitis L03.213

Trichiasis w/o Entropian H02.051 H02.052 H02.053 H02.054 H02.055 H02.056 H02.059

Benign Neoplasm of Eyelid D23.10

PAGE 3

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Cornea

ICD 9 Dx ICD 10 OD OS OU Unspecified eye

372.51 Pinguecula H11.151 H11.152 H15.153 H11.159

918.1

Corneal Abrasion w/o foreign body…..




371.57 Corneal Dystrophy Endothelial H18.51

371.50 Corneal Dystrophy Unspecified H18.50

371.20 Corneal Edema, Unspecified H18.20

930.0

Corneal Foreign Body…..

…..Initial visit T15.01XA T15.02XA T15.00XA

…..Subsequent visit T15.01XD T15.02XD T15.00XD

…..Sequela visit T15.01XS T15.02XS T15.00XS

371.20 Corneal Infiltrate H18.20

370.60 Corneal Neovascularization, Unspecified H16.401 H16.402 H16.403 H16.409

371.00 Corneal Opacity, Central H17.11 H17.12 H17.13 H17.10

Corneal Opacity, peripheral H17.821 H17.822 H17.823 H17.829

370.00 Corneal Ulcer, Unspecified H16.001 H16.002 H16.003 H16.009

Corneal Ulcer, Central H16.011 H16.012 H16.013 H16.019

375.15 Dry Eye Syndrome H04.121 H04.122 H04.123 H04.129

370.20 Keratitis, Unspecified superficial H16.101 H16.102 H16.103 H16.109

370.21 Keratitis, Punctate H16.141 H16.142 H16.143 H16.149

371.60

Keratoconus, Unspecified H18.601 H18.602 H18.603 H18.609

Keratoconus, Stable H18.611 H18.612 H18.613 H18.619

Keratoconus, Unstable H18.621 H18.622 H18.623 H18.629

372.40 Pterygium, Unspecified H11.001 H11.002 H11.003 H11.009

V42.5 Corneal Transplant Status [Secondary diagnosis only] Z94.7

371.42 Recurrent Corneal Erosion H18.831 H18.832 H18.833 H18.839

054.43

Herpesviral Keratitis/keratoconjuntivitis B00.52

Herpes Zoster Ocular Disease Unspecified B02.30

Herpes Zoster Ocular Disease Conjunctivitis B02.31

Herpes Zoster Ocular Disease Iridocyclitis B02.32

Herpes Zoster Ocular Disease Keratitis B02.33

Herpes Zoster Ocular Disease Scleritis B02.34

Herpes Zoster Ocular Disease Other B02.39

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Conjunctiva


918.2

Conjunctiva Abrasion…..




372.54 Conjunctiva Concretions H11.121 H11.122 H11.123 H11.129

930.1

Conjunctiva Foreign Body**

…..Initial visit T15.11XA T15.12XA T15.10XA

…..Subsequent visit T15.11XD T15.12XD T15.10XD

…..Sequela visit T15.11XS T15.12XS T15.10XS

372.72 Conjunctival Hemorrhage H11.31 H11.32 H11.33 H11.30

372.10

Chronic Conjunctivitis Unspecified H10.401 H10.402 H10.403 H10.409

Acute Conjunctivitis Unspecified H10.31 H10.32 H10.33 H10.30

Acute Atopic Conjunctivitis H10.11 H10.12 H10.13 H10.10

Keratoconjunctivitis due to adenovirus B30.0

Conjunctivitis due to adenovirus B30.1

Viral Pharyngoconjunctivitis B30.2

Acute epidemic hemorrhagic conjunctivitis B30.3

Other viral conjunctivitis B30.8

Viral Conjunctivitis Unspecified B30.9

224.3 Benign Neoplasm Conjunctiva D31.01 D31.02 D31.00

372.75 Conjunctival Cyst H11.441 H11.442 H11.443 H11.449

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Lens


366.12 Cataract Incipient "Other" H25.091 H25.092 H25.093 H25.099

366.13 Cataract Anterior subcapsular H25.031 H25.032 H25.033 H25.039

366.14 Cataract Poster subcapsular H25.041 H25.042 H25.043 H25.049

366.15 Cataract Cortical Incipient H25.011 H25.012 H25.013 H25.019

366.16 Cataract Nuclear sclerotic H25.11 H25.12 H25.13 H25.10

366.17 Cataract Mature - Other Age Related Cataract H25.89

366.18 Cataract Hypermature morgagnian H25.21 H25.22 H25.23 H25.20

379.31 Aphakia H27.01 H27.02 H27.03 H27.00

V43.1 Pseudophakia [Secondary diagnosis only] Z96.1

366.53 Capsular Haze - other secondary cataract H26.491 H26.492 H26.493 H26.499


A/C, Pupil, Iris, Sclera


379.00 Episcleritis Unspecified H15.101 H15.102 H15.103 H15.109

364.41 Hyphema H21.01 H21.02 H21.03 H21.00

364.00

Iridocyclitis Primary H20.011 H20.012 H20.013 H20.019

Iridocyclitis Recurrent Acute H20.021 H20.022 H20.023 H20.029

Iridocyclitis Secondary Infectious H20.031 H20.032 H20.033 H20.039

Iridocyclitis Secondary Noninfectious H20.041 H20.042 H20.043 H40.049

Iridocyclitis Chronic H20.11 H20.12 H20.13 H20.10

Iridocyclitis Lens-induced H20.21 H20.22 H20.23 H20.20

Iridocyclitis Unspecified H20.9

364.53 Degeneration of Iris - pigmentary H21.231 H21.232 H21.233 H21.239

379.40

Pupil Anomaly - other congenital malformation of iris Q13.2

Pupil - unspecified anomaly of pupillary function H57.00

Argyll Robertson Pupil, atypical H57.01

Anisocoria H57.02

Miosis H57.03

Mydriasis H57.04

Tonic Pupil H57.051 H57.052 H57.053 H57.059

Other anomalies of pupillary function H57.09

379.00

Scleritis Unspecified H15.001 H15.002 H15.003 H15.009

Anterior Scleritis H15.011 H15.012 H15.013 H15.019

Other Scleritis H15.091 H15.092 H15.093 H15.099

363.20 Unspecified chorioretinal inflammation H30.91 H30.92 H30.93 H30.90

224.0 Benign Neoplasm Ciliary body D31.41 D31.42 D31.40

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Vitreous


379.22 Crystalline Deposits in Vitreous Body (asteroid hyalosis) H43.21 H43.22 H43.23 H43.20

379.21 Vitreous Degeneration (detachment) H43.811 H43.812 H43.813 H43.819

379.23 Vitreous Hemorrhage H43.11 H43.12 H43.13 H43.10

379.24 Other Vitreous Opacities (floaters) H43.391 H43.392 H43.393 H43.399

Retina Choroid


224.6 Chorodial Nevus D31.31 D31.32 D31.30

363.20 Chorioretinitis - Unspecified disseminated Chorioretinal inflammation H30.101 H30.102 H30.103 H30.109

363.30 Chorioretinal Scar - Unspecified H31.001 H31.002 H31.003 H31.009

361.01 Retinal Detachment - Unspecified - with break [new or old] H33.001 H33.002 H33.003 H33.009

Retinal Detachment -Serous - w/o break H33.21 H33.22 H33.23 H33.20

361.10 Retinoschisis - Unspecified H33.101 H33.102 H33.103 H33.109

361.30 Retinal break w/o detachment - Unspecified H33.301 H33.302 H33.303 H33.309

361.32 Retinal HorseshoeTear w/o detachment H33.311 H33.312 H33.313 H33.319

361.31 Retinal Hole H33.321 H33.322 H33.323 H33.329

362.11 Hypertensive Retinopathy H35.031 H35.032 H35.033 H35.039

362.30 Retinal Vascular Occlustion H34.9

Central Retinal Vein Occlusion with Macular Edema H34.8110 H34.8120 H34.8130 H34.8190

Central Retinal Vein Occlusion with Retinal Neovacularization H34.8111 H34.8121 H34.8131 H34.8191

Central Retinal Vein Occlusion - Stable H34.8112 H34.8122 H34.8132 H34.8192

Tributary Retinal Vein Occlusion with Macular Edema H34.8310 H34.8320 H34.8330 H34.8390

Tributary Retinal Vein Occlusion with Retinal Neovacularization H34.8311 H34.8321 H34.8331 H34.8391

Tributary Retinal Vein Occlusion - Stable H34.8312 H34.8322 H34.8332 H34.8392

362.57 Retinal Drusen (macula) H35.361 H35.362 H35.363 H35.369

362.60 Retinal Degeneration Peripheral - Unspecified H35.40

362.63 Lattice Degeneration H35.411 H35.412 H35.413 H35.419

362.74 Retinitis Pigmentosa - Pigmentary Retinal Dystrophy H35.52

362.76 Retinal Pigment Epithelium Dystrophy H35.54

362.81 Retinal Hemorrhage H35.61 H35.62 H35.63 H35.60

362.82 Retital Exudates/Deposits - Other Specified Retinal Disorders H35.89

362.83 Retinal Edema H35.81

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TYPE 1 Diabetic Retinopathy WITHOUT Macular Edema

ICD 9 ICD 10 OD OS OU Unspecified eye

Non-proliferative Mild E10.3291 E10.3292 E10.3293 E10.3299

Non-proliferative Moderate E10.3391 E10.3392 E10.3393 E10.3399

Non-proliferative Severe E10.3491 E10.3492 E10.3493 E10.3499

Proliferative E10.3591 E10.3592 E10.3593 E10.3599

TYPE 1 Diabetic Retinopathy WITH Macular Edema






Resolved following treatment E10.37X1 E10.37X2 E10.37X3 E10.37X9

TYPE 1 Diabetic Retinopathy WITH Retinal Detachment


Prolifrtive retinopthy w/ tractional detachmt involving macula E10.3521 E10.3522 E10.3523 E10.3529

Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E10.3531 E10.3532 E10.3533 E10.3539

Prolif. Retpthy w/ tractional & rhegmatogenous detachment E10.3541 E10.3542 E10.3543 E10.3549

TYPE 2 Diabetic Retinopathy WITHOUT Macular Edema

ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye





TYPE 2 Diabetic Retinopathy WITH Macular Edema

ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye





Resolved following treatment E11.37X1 E11.37X2 E11.37X3 E11.37X9

TYPE 2 Diabetic Retinopathy WITH Retinal Detachment


Prolifrtive retinopthy w/ tractional detachmt involving macula E11.3521 E11.3522 E11.3523 E11.3529

Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E11.3531 E11.3532 E11.3533 E11.3539

Prolif. Retpthy w/ tractional & rhegmatogenous detachment E11.3541 E11.3542 E11.3543 E11.3549

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IOT & Glaucoma

ICD 9 Glaucoma Suspect OD OS OU Unspecified eye

365.01 Open Angle with borderline findings Low Risk H40.011 H40.012 H40.013 H40.019

Open Angle with borderline findings High Risk H40.021 H40.022 H40.023 H40.029

365.02 Anatomical Narrow Angle H40.031 H40.032 H40.033 H40.039

365.04 Ocular Hypertension H40.051 H40.052 H40.053 H40.059

365.11

Primary Open Angle Glaucoma OD OS OU Unspecified eye

Open Angle Glaucoma Stage Unspecified H40.1110 H40.1120 H40.1130 H40.1190

Open Angle Glaucoma Mild H40.1111 H40.1121 H40.1131 H40.1191

Open Angle Glaucoma Moderate H40.1112 H40.1122 H40.1132 H40.1192

Open Angle Glaucoma Severe H40.1113 H40.1123 H40.1133 H40.1193

Open Angle Glaucoma Indeterminate H40.1114 H40.1124 H40.1134 H40.1194

365.20

Primary Angle Closure Glaucoma Unspecified

[PCAG ICD-10 codes are not broken down by eye] ICD-10

Primary Angle Closure Glaucoma Unspecified H40.20X0

Primary Angle Closure Glaucoma Mild H40.20X1

Primary Angle Closure Glaucoma Moderate H40.20X2

Primary Angle Closure Glaucoma Severe H40.20X3

Primary Angle Closure Glaucoma Indeterminate H40.20X4

365.12

Low Tension Glaucoma (2ndary to POAG) OD OS OU Unspecified eye

Low Tension Glaucoma Stage Unspecified H40.1210 H40.1220 H40.1230 H40.1290

Low Tension Glaucoma Mild H40.1211 H40.1221 H40.1231 H40.1291

Low Tension Glaucoma Moderate H40.1212 H40.1222 H40.1232 H40.1292

Low Tension Glaucoma Severe H40.1213 H40.1223 H40.1233 H40.1293

Low Tension Glaucoma Indeterminate H40.1214 H40.1224 H40.1234 H40.1294

365.13

Pigmentary Glaucoma (2ndary to POAG) OD OS OU Unspecified eye

Pigmentary Glaucoma Stage Unspecified H40.1310 H40.1320 H40.1330 H40.1390

Pigmentary Glaucoma Mild H40.1311 H40.1321 H40.1331 H40.1391

Pigmentary Glaucoma Moderage H40.1312 H40.1322 H40.1332 H40.1392

Pigmentary Glaucoma Severe H40.1313 H40.1323 H40.1333 H40.1393

Pigmentary Glaucoma Indeterminate H40.1314 H40.1324 H40.1334 H40.1394

RETURN TO INDEX PAGE GLAUCOMA & OPTIC NERVE CONTINUED………….

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365.52

Capsular Glaucoma with Pseudoexfoliation OD OS OU Unspecified eye

Capsular Glaucoma w/Pseudoexfoliation Unspecified H40.1410 H40.1420 H40.1430 H40.1490

Capsular Glaucoma w/Pseudoexfoliation Mild H40.1411 H40.1421 H40.1431 H40.1491

Capsular Glaucoma w/Pseudoexfoliation Moderate H40.1412 H40.1422 H40.1432 H40.1492

Capsular Glaucoma w/Pseudoexfoliation Severe H40.1413 H40.1423 H40.1433 H40.1493

Capsular Glaucoma w/Pseudoexfoliation Indeterminate H40.1414 H40.1424 H40.1434 H40.1494

365.03 Steroid Responder H40.041 H40.042 H40.043 H40.049

365.21 Intermittent Angle Closure Glaucoma H40.231 H40.232 H40.233 H40.239

365.22 Acute Angle Closure Glaucoma H40.211 H40.212 H40.213 H40.219

365.23

Chronic Angle Closure Glaucoma OD OS OU Unspecified eye

Chronic Angle Closure Glaucoma stage Unspecified H40.2210 H40.2220 H40.2230 H40.2290

Chronic Angle Closure Glaucoma Mild H40.2211 H40.2221 H40.2231 H40.2291

Chronic Angle Closure Glaucoma Moderate H40.2212 H40.2222 H40.2232 H40.2292

Chronic Angle Closure Glaucoma Severe H40.2213 H40.2223 H40.2233 H40.2293

Chronic Angle Closure Glaucoma Indeterminate H40.2214 H40.2224 H40.2234 H40.2294

Optic Nerve


377.41 Ischemic Optic Neuropathy H47.011 H47.012 H47.013 H47.019

377.10 Optic Atrophy, Unspecified H47.20

Optic Atrophy, Primary H47.211 H47.212 H47.213 H47.219

Optic Atrophy, Hereditary H47.22

Optic Atrophy, Glaucomatous H47.231 H47.232 H47.233 H47.239

Optic Atrophy, Other H47.291 H47.292 H47.293 H47.299

377.21 Optic Disc Drusen H47.321 H47.322 H47.323 H47.329

377.30 Optic Neuritis H46.01 H46.02 H46.03 H46.00

377.00 Papilledema unspecified H47.10

Papilledema associated with retinal disorder (choked disc) H47.13

Foster-Kennedy syndrome H47.141 H47.142 H47.143 H47.149

377.31 Papillitis H46.01 H46.02 H46.03 H46.00

377.24 Pseudopapilledema H47.331 H47.332 H47.333 H47.339


11



Macular Degeneration ARMD


362.50 Unspecified Macular Degeneration H35.30

ARMD Non-Exudative Stg. Unspecified H35.3110 H35.3120 H35.3130 H35.3190

ARMD Non-Exudative Early Dry H35.3111 H35.3121 H35.3131 H35.3191

ARMD Non-Exudative Interm. Dry H35.3112 H35.3122 H35.3132 H35.3192

ARMD Non-Exudative Advanced W/O sub-foveal involvement H35.3113 H35.3123 H35.3133 H35.3193

ARMD Non-Exudative Advanced With sub-foveal involvement H35.3114 H35.3124 H35.3134 H35.3194

OD OS OU Unspecified eye

ARMD Exudative Stg. Unspecified H35.3210 H35.3220 H35.3230 H35.3290

ARMD Exudative With Active Choroidal Neovacularization H35.3211 H35.3221 H35.3231 H35.3291

ARMD Exudative With Inactive Choroidal Neovacularization H35.3212 H35.3222 H35.3232 H35.3292

ARMD Exudative with Inactive Scar H35.3213 H35.3223 H35.3233 H35.3293

Macula


362.53 Macular CME H35.351 H35.352 H35.353 H35.359

362.54 Macular Cyst, Hole or Pseudohole H35.341 H35.342 H35.343 H35.349

362.56 Puckering of macula H35.371 H35.372 H35.373 H35.379

Functional


367.32 Aniseikonia H52.32

367.51 Accommodative Paresis H52.521 H52.522 H52.523 H52.529

368.00 Amblyopia Unspecified H53.001 H53.002 H52.003 H53.009

Amblyopia Suspect H53.041 H53.042 H53.043 H53.049

368.13 Photophobia - Asthenopia - Visual discomfort H53.141 H53.142 H53.143 H53.149

368.2 Diplopia H53.2

368.33 Fusion Problems - Fusion w/defective Stereopsis H53.32

378.40 Hyperphoria - Vertical heterophoria H50.53

378.41 Esophoria H50.51

378.42 Exophoria H50.52

378.83 Convergence Insufficiency H51.11

378.83 Convergence Excess H51.12

379.50 Nystagmus - Unspecified H55.00

379.91 Eyepain - Ocular Pain H57.11 H57.12 H57.13 H57.10

12



Systemic

ICD 9 Dx ICD 10 250.00 Diabetes Type II - without complications E11.9

250.01 Diabetes Type I - without complications E10.9

790.29 Pre-Diabetes R73.03

790.29 Pre-Diabetes - Other abnormal glucose R73.09

340 Multiple Sclerosis G35

358.0 Myasthenia Gravis w/o exacerbation G70.00

376.21 Exophthalmos Unspecified H05.20

382.39 Dermatitis of Skin Unspecified L30.9

435.9 TIA Unspecified G45.9

714.0 Rheumatoid Arthritis M06.9

716.9 Osteoarthritis - Unspecified M19.90

Strabismus


378.00

Esotropia Unspecified H50.00

Esotropia Monocular H50.011 H50.012

Esoptropia Alternating H50.05

378.10

Exotropia Unspecified H50.10

Exotropia monocular H50.111 H50.112

Exotropia Alternating H50.15

378.50 Other Paralytic strabismus H49.881 H49.882 H49.883 H49.889

378.51 Third Nerve Palsy H49.01 H49.02 H49.03 H49.00

378.53 Fourth Nerve Palsy H49.11 H49.12 H49.13 H49.10

378.54 Sixth Nerve Palsy H49.21 H49.22 H49.23 H49.20

Visual Field Defect


368.40 Visual Field Defect Unspecified H53.40

Central Scotoma H53.411 H53.412 H53.413 H53.419

Scotoma of blind spot H53.421 H53.422 H53.423 H53.429

Sector or arcuate defect H53.431 H53.432 H53.433 H53.439

Other localized defect H53.451 H53.452 H53.453 H53.459

Generalized contraction of visual field H53.481 H53.482 H53.483 H53.489

Right Side Left Side Unspecified side

Homonymous bilateral field defect H53.461 H53.462 H53.469

Heteronymous bilateral field defect H53.47

13


Blindness and Low Vision

Dx Categories Category 1: 20/70-20/200 Category 2: 20/200-20/400 Category 3: 20/400-20/1200 Category 4: 20/1200 to light perception only Category 5: NLP

BLINDNESS BOTH EYES Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5

~Blind OD Category 3 H54.0X33 H54.0X34 H54.0X35



BLIND OD & LOW VISION OS Lw Visn OS Catgy 1 Lw Visn OS Catgy 2

~Blind OD Category 3 H54.1131 H54.1132



BLIND OS & LOW VISION OD Lw Visn OD Catgy 1 Lw Visn OD Catgy 2

~Blind OS Category 3 H54.1213 H54.1223



LOW VISION BOTH EYES Lw Visn OS Catgy 1 Lw Visn OS Catgy 2

~Low Vision OD Category 1 H54.2X11 H54.2X12

~Low Vision OD Category 2 H54.2X21 H54.2X22

NORMAL VISION IN ONE EYE AND LOW VISION IN THIS EYE Lw Visn OD Catgy 1 Lw Visn OD Catgy 2 Lw Visn OS Catgy 1 Lw Visn OS Catgy 1

~Normal vision in one eye & low vision in other eye H54.511A H54.512A H54.52A H54.52A2

NORMAL VISION IN ONE EYE AND BLIND IN THIS EYE Blind OD Catgy 3 Blind OD Catgy 4 Blind OD Catgy 5 Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5

~Normal vision in one eye & blind in other eye H54.413A H54.414A H54.415A H54.42A3 H54.42A4 H54.42A5

Other


V58.69 Long term (current use) of drug therapy - other Z79.899

362.34 Amaurosis Fugax G45.3

368.51 Color Deficiency - Unspecified Hereditary Retinal Dystrophy H53.50

784.0 Headache R51

346.00 Migraine w/ Aura, Not retractable, w/o status migrainosus G43.109

Migraine w/o Aura, Not retractable, w/o status migrainosus G43.009

368.15 Photophobia - Visual Discomfort H53.141 H53.142 H53.143 H53.149

270.2 Albinism Unspecified E70.30

Ocular Albinism Unspecified E70.319

351.8 Facial Myokymia G51.4

921.3 Berlin's Disease - Other injuries of eye and orbit S05.8X1 S05.8X2 S05.8X9

368.9 Visual Disturbance Unspecified H53.9


14


Instructions on downloading the 2019 ICD-10 CM Index and the 2019 ICD-10 CM Tabular List

1. Go to the CMS 2019 ICD-10 CM and GEMS web page (screenshot

at right).

2. Click on the download “2019 Code Tables and Index [ZIP 18MB]”

3. All of the files in the red box will be downloaded to your

computer. You are only interested in the two large pdf files circled

in red.

4. Save those two files to a special folder on your computer.

5. When you want to find a particular diagnosis term or code, go to

the folder containing those files and:

A. Open the icd10cm_index_2019.pdf file.

B. Use CNTL-F to search for the diagnosis term in question.

C. Once your term is found in the index, note or copy its

corresponding ICD-10 root (non-billable) diagnosis code.

D. Now open the icd10cm_tabular_2019.pdf file.

E. Use CNTL-F to search for the root diagnosis code you just

copied from the index file.

F. Most likely your tabular list search will reveal a number of

billable diagnosis codes from which to chose. Of the codes found,

always chose the most specific code appropriate for the patient’s

condition. Specificity is important.

On occasion the code you are seeking may not be available in

the previous 12 pages. CMS has made the thousands of pages

of the ICD-10 CM index and tablular list available for

download. Simply follow the directions below, and then use

the CNTRL-F function to search the index and tabular list for

the diagnosis or code of interest.


Check the downloads on your computer, and you should find a folder with the following list of files:

https://www.cms.gov/Medicare/Coding/ICD10/2019-ICD-10-CM.html

3rd party news: 2019 edition - nebraska.aoa.org icd-10... · the codes included in this id- í ì...

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