icd 9 code for corneal thickening

by Juliet Lemke 3 min read

ICD-9-CM 371.57 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 371.57 should only be used for claims with a date of service on or before September 30, 2015.

Full Answer

What is the ICD 9 code for corneal disorder?

Short description: Corneal disorder NEC. ICD-9-CM 371.89 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 371.89 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 10 code for corneal dissection?

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.

Where can I find a cornea ICD-10 reference guide?

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.

What is the ICD 10 code for Superficial corneal injury?

918.1 is a legacy non-billable code used to specify a medical diagnosis of superficial injury of cornea. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

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What is the ICd-9 GEM?

The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

What is the outermost layer of the eye?

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. If you wear contact lenses, they float on top of your corneas.

Code for Laterality

Except for dystrophies, corneal ICD-10 codes have a digit for laterality:

Some Commonly Used Codes

In these examples, report laterality by replacing the dash with a 1, 2, or 3.

Dystrophies

ICD-10’s section for hereditary corneal dystrophies lists 7 conditions. Each has only 1 code; no laterality is needed.

Excludes1 Notes

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.

Injury and Trauma

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).

More Online

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.

What are the five layers of the cornea?

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.

What is the outermost layer of the eye?

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.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Social Security Act (Title XVIII) Standard References: Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33810 Computerized Corneal Topography. Please refer to the LCD for reasonable and necessary requirements and limitations.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Corneal Pachymetry. Coding Information: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the related determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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