Unspecified disorder of cornea. H18.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM H18.9 became effective on October 1, 2019. This is the American ICD-10-CM version of H18.9 - other international versions of ICD-10 H18.9 may differ.
Corneal ulcer. The 2019 edition of ICD-10-CM H16.0 became effective on October 1, 2018. This is the American ICD-10-CM version of H16.0 - other international versions of ICD-10 H16.0 may differ. A disorder characterized by an area of epithelial tissue loss on the surface of the cornea.
The 2020 edition of ICD-10-CM H16.0 became effective on October 1, 2019. This is the American ICD-10-CM version of H16.0 - other international versions of ICD-10 H16.0 may differ. A disorder characterized by an area of epithelial tissue loss on the surface of the cornea.
Answer: According to Gordon Johns, MD, author of ICD-10-CM for Ophthalmology: The Complete Reference, this could manifest from many different underlying causes. “Thus, it is far better to use the diagnosis for the underlying process if at all possible. If no other code is applicable, consider ICD-10 code H18.89 Other specified disorders of cornea.
H16. 319 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H16. 319 became effective on October 1, 2021.
ICD-10-CM Code for Corneal scars and opacities H17.
S05.02XAThe general ICD-10 code to describe the initial evaluation of a patient with a corneal abrasion using ICD-10 is: S05. 02XA – Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter.
ICD-10-CM Code for Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter S05. 01XA.
Corneal scarring refers to the scarring of the cornea, from trauma, or infection or disease, which results in impaired vision, or even blindness, in the affected eye.
611-613 Keratoconus. Keratoconus is a disease of the cornea. It is characterized by progressive thinning of the corneal stroma and a progressive steepening in the shape of the cornea.
H53. 141 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H53.
Assuming your treatment plan includes applying a soft bandage contact lens, you would use 92071 to describe this service. CPT Code 92071 is defined as: “Fitting of contact lens for treatment of ocular surface disease.”
ICD-10 code H57. 10 for Ocular pain, unspecified eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
Your cornea can be scratched by contact with dust, dirt, sand, wood shavings, metal particles, contact lenses or even the edge of a piece of paper. Corneal abrasions caused by plant matter (such as a pine needle) usually require special attention as they can cause a delayed inflammation inside the eye (iritis).
The cornea is the transparent part of the eye that covers the front portion of the eye. It covers the pupil (the opening at the center of the eye), iris (the colored part of the eye), and anterior chamber (the fluid-filled inside of the eye). The cornea's main function is to refract, or bend, light.
A bandage contact lens is designed to protect an injured or diseased cornea from the mechanical rubbing of the blinking eyelids, therefore allowing it to heal. The Bandage lens often makes the eye feel more comfortable. It is usually a soft lens, but not always.
Except for dystrophies, corneal ICD-10 codes have a digit for laterality:
In these examples, report laterality by replacing the dash with a 1, 2, or 3.
ICD-10’s section for hereditary corneal dystrophies lists 7 conditions. Each has only 1 code; no laterality is needed.
Excludes1 Notes flag conditions that can’t be billed in the same eye at the same patient encounter. For example, M35.01 Sjögren’s syndrome isn’t payable with H16.22 Keratoconjunctivitis sicca. Similarly, H1.21 Acute toxic conjunctivitis is not payable with T26- Burn and corrosion confined to eye and adnexa.
T15.0- Corneal foreign body, T15.1- Conjunctival foreign body, and T26.1- Burn of cornea and conjunctival sac must be submitted as 7-character codes, with the final character being an A (if an initial encounter), D (subsequent encounter), or S (sequela).
A cornea ICD-10 reference guide, along with guides for other subspecialties, can be found at www.aao.org/practice-management/coding/icd-10-cm/resources. Thanks to David B. Glasser, MD, for his contribution to this resource.
As previously, the fifth character of corneal dystrophy’s ICD-10 code (H18.5-) represents the type of dystrophy:
As previously, the sixth character of the ICD-10 code for a corneal transplant (T86.84-) indicates type of transplant:
Further changes that might be relevant to your practice include the following.
While federal payers implemented these codes on Oct. 1 (apart from the two U07 codes, which were implemented earlier), others may be slower to adopt them. You should therefore:
The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous epithelium, bowman's membrane, stroma, descemet's membrane, and mesenchymal endothelium.
The transparent part of the eye that covers the iris and the pupil and allows light to enter the inside. Your cornea is the outermost layer of your eye. It is clear and shaped like a dome. The cornea helps to shield the rest of the eye from germs, dust, and other harmful matter. It also helps your eye to focus.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Social Security Act (Title XVIII) Standard References: Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..
This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33810 Computerized Corneal Topography. Please refer to the LCD for reasonable and necessary requirements and limitations.
It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.
All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.