icd 10 code for glaucoma suspect moderate risk

What is the ICD 10 code for glaucoma suspect?

2018/2019 ICD-10-CM Diagnosis Code H40.0. Glaucoma suspect. 2016 2017 2018 2019 Non-Billable/Non-Specific Code. H40.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.

What is the H40 code for low tension glaucoma?

H40.1210 Low-tension glaucoma, right eye, stage unspec... H40.1212 Low-tension glaucoma, right eye, moderate sta... H40.1213 Low-tension glaucoma, right eye, severe stage...

How do we determine the appropriate OAG code for glaucoma?

It only allows for low or high risk. How do we determine the appropriate code? Answer: The physician will determine if the patient is low- or high-risk. This is included on the ICD-10 quick reference guide for glaucoma codes. Risk Factors for OAG Suspect Codes:

What is the ICD 10 code for preglaucoma?

Preglaucoma, unspecified, bilateral. H40.003 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for glaucoma suspect?

Although 304 ICD-10 codes contain the word glaucoma, only one exists for glaucoma suspect (H40. 0).

What is a low risk glaucoma suspect?

Open-Angle Glaucoma Suspect, low risk. Category. Glaucoma. Description. A glaucoma suspect is a person with clinical findings and/or a combination of risk factors that indicate an increased likelihood of developing glaucoma.

Is glaucoma suspect a diagnosis?

Abstract. Glaucoma suspect is a diagnosis reserved for individuals who do not definitively have glaucoma at the present time but have characteristics suggesting that they are at high risk of developing the disease in the future based on a variety of factors.

How is a glaucoma stage reported in ICD-10?

Moderate stage glaucoma is noted with a “2” as the final digit in the diagnosis code. As in the example above, moderate stage open angle glaucoma with borderline findings and low risk the ICD-10 code would be H40. 011X2 for the right eye and H40. 012X2 for the left eye.

Does glaucoma suspect mean you have glaucoma?

A glaucoma "suspect” is an individual who demonstrates one or more factors that put them at higher risk of a glaucoma diagnosis, but do not yet have glaucoma damage. Sometimes this is referred to as pre-glaucoma or borderline glaucoma.

Do all glaucoma suspects get glaucoma?

Glaucoma Outlook Most people who are glaucoma suspected do not develop optic nerve damage and/or vision loss. Overall, about 1% of individuals with OHT develop glaucoma per year. The risk is higher for people who have additional risk factors besides elevated IOP.

What is glaucoma suspect of both eyes?

A glaucoma suspect is defined as a person who has one or more clinical features and/or risk factors which increase the possibility of developing glaucomatous optic nerve degeneration (GOND) and visual deficiency in the future.

What is narrow angle glaucoma suspect?

'Primary angle closure suspect' (Often referred to as 'anatomical narrow angle') refers to when an eye with narrow angles without evidence of glaucoma. These patients will still need to be monitored for the development of glaucoma in their lifetime.

What are signs of glaucoma suspect?

A diagnosis of open-angle glaucoma suspect is established by the presence of a consistently elevated IOP, a suspicious-appearing optic nerve, or an abnormal visual field. Appropriate baseline testing for a glaucoma suspect includes IOP, optic nerve exam, OCT, visual fields, and angle assessment.

What is moderate stage glaucoma?

1132 is used for moderate-stage glaucoma. Medicare defines that as optic nerve abnormalities consistent with glaucoma and retinal nerve fiber layer changes, plus visual field abnormalities in one hemifield—but not within 5 degrees of fixation.

What is diagnosis code for glaucoma?

5 Glaucoma secondary to other eye disorders.

What is the category code for glaucoma?

The diseases of the eye and adnexa are listed in chapter 7. The glaucoma section codes begin with H40 “glaucoma” or H42 “glaucoma in diseases classified elsewhere.”

What is subconjunctival hemorrhage?

Subconjunctival hemorrhage due to birth injury. Traumatic glaucoma due to birth injury. P15.3) Clinical Information. A condition in which there is a build-up of fluid in the eye, which presses on the retina and the optic nerve. The retina is the layer of nerve tissue inside the eye that senses light and sends images along the optic nerve to ...

How to protect eyes from vision loss?

early treatment can help protect your eyes against vision loss. Treatments usually include prescription eyedrops and/or surgery. nih: national eye institute. Group of diseases characterized by increased intraocular pressure resulting in damage to the optic nerve and retinal nerve fibers.

What is a type 1 exclude note?

A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. A condition in which there is a build-up of fluid in the eye, which presses on the retina and the optic nerve. The retina is the layer of nerve tissue inside the eye that senses light ...

What is glaucoma optic neuropathy?

DEFINITION. Glaucoma is an optic neuropathy showing distinctive changes in optic nerve morphology without associated pallor. The term “glaucoma” refers to a group of chronic, progressive optic neuropathies that have in common characteristic morphologic changes at the optic nerve and retinal nerve fiber layer.

Is glaucoma a low risk or high risk?

According to the 2015 ICD-10 diagnosis codes, persons are considered open-angle glaucoma suspects based on the number of risk factors they possess. Low-risk is one or two risk factors. High-risk is three or more risk factors.

Is intraocular pressure a factor in glaucoma?

For patients diagnosed as glaucoma suspects, there remains some controversy on whether unphysiologic intraocular pressure is the dominant factor involved in developing glaucomatous optic atrophy or if there is a secondary component such as compromised blood flow to the optic nerve head.