First described by De Wecker in 1872, optic nerve sheath decompression (ONSD), also referred to as optic nerve sheath fenestration, is a surgical procedure used to relieve pressure from the subarachnoid space in the setting of increased intracranial pressure (ICP).
ICD-10 code T70. 3 for Caisson disease [decompression sickness] is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
377.14 - Glaucomatous atrophy [cupping] of optic disc | ICD-10-CM.
ICD-10-CM Code for Ocular hypertension, bilateral H40. 053.
By definition, ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD). In short, this is a classification system created by the World Health Organization (WHO).
Nonautologous Tissue Substitute (K)—bone is harvested by a tissue bank from a cadaver. Synthetic Substitute (J)—examples include demineralized bone matrix, synthetic bone graft extenders, bone morphogenetic proteins (BMP)
Other disorders of optic nerve, not elsewhere classified, unspecified eye. H47. 099 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Optic atrophy is a sign and typically is noted as optic nerve pallor. This is the end stage of a process resulting in optic nerve damage. Because the optic nerve fiber layer is thinned or absent the disc margins appear sharp and the disc is pale, probably reflecting absence of small vessels in the disc head.
The optic nerve head (ONH) is the structure in the posterior ocular fundus that allows the exit of the retinal ganglion cell axons and the entry and exit of the retinal blood vessels.
H25. 13 Age-related nuclear cataract, bilateral - ICD-10-CM Diagnosis Codes.
H40. 003 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 H40. 003 became effective on October 1, 2021.
ICD-10 Code for Primary open-angle glaucoma, right eye, mild stage- H40. 1111- Codify by AAPC.
The physician reprogrammed a shunt on a patient with an implanted programmable cerebrospinal fluid valve and shunt system to decrease the shunt pressure.
The physician treated an ectopic pregnancy by removing the fallopian tube and ovary through an incision in the lower abdomen.
Insertion of intraocular lens four weeks after right cataract removal.
The physician explored the parathyroid glands. During the same operative session, a parathyroid autotransplantation was also performed.
A physician provided all antepartum (7 visits) and postpartum care but did not perform the delivery.
The physician performed colpocentesis to aspirate fluid from the peritoneum through the vaginal wall.
A needle was inserted into the patient's bladder to insert a radiopharmaceutical (HCPCS level II code A9699) for the purpose of radiation therapy.
If vitrectomy is performed with the removal of the internal limiting membrane for the repair of a MH, the CPT code that should be used is 67042 —vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of MH, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil).
If the diagnosis is epiretinal membrane, and a PPV with membrane peel is performed, the correct CPT code would be 67041 —vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker).
If the diagnosis is subretinal hemorrhage or vitreomacular traction, the correct CPT code is 67025.
A pneumatic retinopexy is performed by injecting a gas bubble into the vitreous. Typically, an anterior chamber tap is performed during the surgical session. Laser or cryotherapy may be performed during the session, but these are more commonly done postoperatively.
What to Consider: In this case, the diagnosis leading to the laser procedure is CNVM. The correct CPT code is 67220.
67210: Destruction of localized lesion of retina (eg, macular edema, tumors), one or more sessions; photocoagulation.
PPV is a common procedure performed during retina surgery. To choose the correct CPT code for PPV, start by determining the reason for surgery. If the PPV is performed to repair an RD, consider the following codes: