Arcus senilis, bilateral. H18.413 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H18.413 became effective on October 1, 2018.
It’s true. When it comes to the cornea (with the exception of dystrophies), there are 3 ICD-10 codes for every ICD-9 code. You’ll find these codes in chapter 7 of ICD-10; look for the section titled Disorders of Sclera, Cornea, Iris, and Ciliary Body (H15-H22).
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.
To code a diagnosis of this type, you must use one of the eight child codes of H18.4 that describes the diagnosis 'corneal degeneration' in more detail. Arcus senilis (or arcus senilis corneae) is a white, grey, or blue opaque ring in the corneal margin (peripheral corneal opacity), or white ring in front of the periphery of the iris.
Arcus senilis, bilateral. H18.413 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H18.413 became effective on October 1, 2018.
Corneal Arcus, sometimes referred to as Arcus Senilis in an older patient, is a greyish or yellowish opaque colored ring or arc around the peripheral cornea of both eyes. The corneal arcus ring consists of lipid/cholesterol deposits in the periphery of the cornea stromal layer.
H18. 413 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
H25. 13 Age-related nuclear cataract, bilateral - ICD-10-CM Diagnosis Codes.
Eventually, the arc may become a complete ring around the colored portion (iris) of your eye. Arcus senilis is common in older adults. It's caused by fat (lipid) deposits deep in the edge of the cornea. Arcus senilis doesn't affect vision, nor does it require treatment.
371.41 - Senile corneal changes | ICD-10-CM.
H15. 019 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
H25. 12 - Age-related nuclear cataract, left eye | ICD-10-CM.
13.
ICD-10 code H43. 393 for Other vitreous opacities, bilateral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
Sometimes referred to as "ring around the pupil," this condition is known as corneal arcus. More specifically, it is called arcus senilis in people in their 60s and up and arcus juvenilis in younger people. Corneal arcus may appear as an arc above or beneath the cornea.
Blue rings around the iris are caused by cholesterol deposits in the eye. The deposits are actually white or yellowish but can appear blue. This might sound dangerous, but it isn't. Researchers estimate that this condition impacts anywhere between 20 and 35 percent of people, becoming increasingly likely as you age.
Many people develop a light-colored ring around the outside edge of their iris (the colored part of the eye) as they age. It happens when calcium or lipids (fats) accumulate at the border between the iris and white of the eye.
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.
Arcus senilis (or arcus senilis corneae) is a white, grey, or blue opaque ring in the corneal margin (peripheral corneal opacity), or white ring in front of the periphery of the iris. It is present at birth, but then fades; however, it is quite commonly present in the elderly. It can also appear earlier in life as a result of hypercholesterolemia.
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H18.4. Click on any term below to browse the alphabetical index.