icd 10 code for pseudohole

by Pierce O'Kon MD 8 min read

Macular cyst, hole, or pseudohole, unspecified eye
H35. 349 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 H35. 349 became effective on October 1, 2021.

What is a macular Pseudohole?

Pseudohole or Macular Pseudohole OCT is a type of medical imaging technology that produces high-resolution cross-sectional and three-dimensional images of the eye. In a full-thickness macular hole, the OCT scan will confirm the absence of retinal layers, as well as a full thickness defect in the retina.

What is macular cyst hole or Pseudohole?

Macular Cyst Hole Or Pseudohole Of Retina. Category. Other Retinal Disorders. Description. A macular hole is a defect of the foveal retina involving its full thickness from the internal limiting membrane (ILM) to the outer segment of the photoreceptor layer.

What is full thickness macular hole?

Full thickness macular hole (FTMH) is a common maculopathy, which causes debilitating central vision loss and impairment of the quality of life of patients. It is usually idiopathic, but may be associated with trauma, high myopia and solar retinopathy.

What is the appropriate diagnosis code for posterior capsular opacity?

366.53 is your code for Posterior Capsular Opacification (PCO) after the patient has undergone removal of the cataract.

What is epiretinal membrane with Pseudohole?

Please note: The epiretinal membrane (ERM) can have varying degrees of retinal cone disruption from none or minimal to significant. It is the degree of this cone disruption that affects the final visual outcome. Pseudohole is simply an appearance of the retina due to contraction (or pulling) from the ERM.

Is a macular cyst the same as a macular hole?

A macular cyst may result from diabetes, damage to blood vessels, surgery, inflammation, or trauma to your eye. Macular cysts are also sometimes used to describe a macular hole, which is a tear that occurs in the macula.

What is a Stage 3 macular hole?

Stage 3: Full-Thickness Hole – When a macular hole develops to this stage, most central and detailed vision can be lost. A macular hole can lead to a detached retina, a sight-threatening condition that should receive immediate medical attention.

When do you refer a macular hole?

1. Macular hole. When to refer: Once a true retinal break is apparent (stage 2-4), the patient should be referred for surgical treatment. Repair is successful in most patients, and the earlier the treatment, the better the prognosis for the patient.

Do all macular holes require surgery?

Most macular holes form because of changes in the eye that happen as you age. Some people with macular holes have mild symptoms and may not need treatment right away. But doctors may recommend surgery to protect your vision if a macular hole is getting bigger, getting worse, or causing serious vision problems.

What is posterior capsular opacification?

Posterior capsule opacification (PCO), often referred to as “secondary cataract,” is the most common postoperative complication of cataract extraction. In PCO, the posterior capsule undergoes secondary opacification due to the migration, proliferation, and differentiation of lens epithelial cells (LECs).

What is capsular opacification?

Posterior capsular opacification (PCO) occurs when a cloudy layer of scar tissue forms behind your lens implant. This may cause you to have blurry or hazy vision, or to see a lot of glare from lights. PCO is fairly common after cataract surgery, occurring in about 20% of patients.

How do you bill Post op YAG?

If the doctor performs a YAG in the postop period, first we bill it to Medicare with the -79 modifier, she says. Then we get the denial back. And then we send it in again with a medical necessity note from the doctor.