Epithelial (juvenile) corneal dystrophy Corneal epithelial dystrophy; Epithelial corneal dystrophy; Juvenile epithelial corneal dystrophy; Meesman's corneal dystrophy ICD-10-CM Diagnosis Code H18.899 [convert to ICD-9-CM] Other specified disorders of cornea, unspecified eye
2018/2019 ICD-10-CM Diagnosis Code H18.9. 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.
Unspecified corneal edema 1 H18.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM H18.20 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of H18.20 - other international versions of ICD-10 H18.20 may differ.
Corneal disorder due to contact lens, unspecified eye. H18.829 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM H18.829 became effective on October 1, 2018.
Filtering (vitreous) bleb after glaucoma surgery status The 2022 edition of ICD-10-CM Z98. 83 became effective on October 1, 2021. This is the American ICD-10-CM version of Z98.
The 2022 edition of ICD-10-CM H18. 892 became effective on October 1, 2021. This is the American ICD-10-CM version of H18.
51.
H18. 832 - Recurrent erosion of cornea, left eye | ICD-10-CM.
Disease. Corneal epithelial defects are focal areas of epithelial (outermost corneal layer) loss; they can be due to mechanical trauma, corneal dryness, neurotrophic disease, post surgical changes, infection, or any other of a variety of etiologies.
Fuchs endothelial corneal dystrophy (FECD) is characterized by progressive loss of corneal endothelial cells, thickening of Descement's membrane and deposition of extracellular matrix in the form of guttae. When the number of endothelial cells becomes critically low, the cornea swells and causes loss of vision.
Corneal guttata are droplet-like accumulations of non-banded collagen on the posterior surface of Descemet's membrane. The presence of focal thickenings of Descemet's membrane histologically named guttae.
Posterior polymorphous corneal dystrophy (PPMD, PPCD) is a rare, bilateral, autosomal dominant inherited corneal dystrophy. The corneal abnormality in PPMD occurs at the level of Descemet's membrane and endothelium, and rarely will result in corneal edema or elevated intraocular pressure.
2022 ICD-10-CM Diagnosis Code H27. 00: Aphakia, unspecified eye.
Keeping it simple is typically best. The 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.
When coding with CPT for a corneal abrasion, you will have an office visit to code; in this case either a 920X2 or a 992XX code could be appropriate to use for describing your professional services in examining the patient, determining the primary diagnosis and developing a treatment plan.
Recurrent corneal erosion (RCE) is a common disorder causing ocular pain, tearing, photophobia, and visual impairments. Various factors such as ocular trauma, ocular surgery, corneal dystrophy, contact lens wear, and diabetes mellitus (DM) can cause RCE.
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.
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.
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: