2018/2019 ICD-10-CM Diagnosis Code H17.821. Peripheral opacity of cornea, right eye. H17.821 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Posterior subcapsular polar age-related cataract, right eye. H25.041 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Other secondary cataract, unspecified eye. H26.499 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 H26.499 became effective on October 1, 2019. This is the American ICD-10-CM version of H26.499 - other international versions of ICD-10 H26.499 may differ.
According to ICD-10-CM, there are close to 70— ranging from age-related to zonular cataracts. Reporting laterality. For some codes, you include a number to indicate laterality: 1 for the right eye, 2 for the left eye, and 3 for both eyes.
366.53 is your code for Posterior Capsular Opacification (PCO) after the patient has undergone removal of the cataract.
Posterior Capsule Opacification (PCO) is commonly referred to as a “Secondary Cataract”. In some patients, this condition may arise months to years after cataract surgery. You may notice a steady decline in your vision compared the bright, clear vision you had following cataract surgery.
Structurally, the posterior capsule is very simple: a clear, elastic, membrane-like collagen structure synthesized by the lens epithelial cells to encapsulate the lens fibers. Functionally, however, it forms a crucial barrier between the anterior and posterior segments, both anatomically and physiologically.
PCO happens when a film of tissue forms in the capsule behind the lens implant, which decreases the clarity of your vision. It is called posterior capsule opacification (or posterior capsule opacity) because it: appears at the back of the lens capsule. and the capsule becomes thickened and opaque (less transparent).
Posterior capsulotomy is a surgical procedure which is sometimes necessary after cataract surgery. Cataract surgery is performed when the lens of the eye, which focuses light rays, becomes cloudy. When it interferes with vision, it is called a cataract and the treatment is to remove the cloudy lens.
The onset of blurry vision or visual acuity decline after cataract extraction should prompt the examiner to look for signs of PCO. The diagnosis of PCO is clinical, based on history and slit lamp examination of the eye.
Posterior capsular opacification is caused mainly by remnant lens epithelial cell proliferation and migration, epithelial-mesenchymal transition, collagen deposition, and lens fiber generation. All of these processes are influenced by cytokines, growth factors, and extracellular matrix proteins.
Capsular rupture is a dreaded complication of cataract surgery; it jeopardises the chances of inserting a posterior lens and therefore obtaining the ideal optical correction of the patient's aphakia after the operation. However, if this complication does occur, do not panic: most cases can be salvaged.
PCO occurs because cells remaining after cataract surgery grow over the back (posterior) of the capsule causing it to thicken and become slightly opaque (cloudy). This means that light is less able to travel through to the retina at the back of your eye.
What happens if PCO is not treated? PCO is not a serious disease nor is it an emergency. If it is not treated, it will increase with time and cause deterioration of vision.
Posterior capsule opacification is most often treated using a neodymium:yttrium–aluminium–garnet (Nd:YAG) laser. Quick pulses of the laser make precise ablations in the posterior capsule and create a small circular opening in the visual axis.
0:092:10What is Capsular Fibrosis? - YouTubeYouTubeStart of suggested clipEnd of suggested clipWe use the capsule or the outer skin of the old lens to support the new lens and keep it in place.MoreWe use the capsule or the outer skin of the old lens to support the new lens and keep it in place. It's not uncommon for scar tissue to form on this capsule. This can make your vision cloudy.