1 Always report for the worse eye 2 Assume optic nerve abnormalities consistent with glaucoma for all staging codes 3 Know the new codes: 4 365.71 Mild glaucoma 5 365.72 Moderate glaucoma 6 365.73 Severe glaucoma 7 365.74 Indeterminate 8 365.70 Unspecified
H40.9 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 H40.9 became effective on October 1, 2021.
Glaucomatous optic atrophy, unspecified eye. H47.239 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
After refinements required by the government’s ICD-9-CM Coordination and Maintenance Committee, the glaucoma staging codes were approved to be implemented on Oct. 1. They will be incorporated into ICD-10 in October 2013.
Characteristics of a glaucomatous ONH generalised/focal enlargement of the cup. disc haemorrhage (within 1 disc diameter of ONH) thinning of neuroretinal rim (usually at superior & inferior poles) asymmetry of cupping between patient's eyes. loss of nerve fibre layer.
377.14 - Glaucomatous atrophy [cupping] of optic disc | ICD-10-CM.
Physiological cupping is a congenital disorder of optic cupping, which is caused by the scleral optic canal and pronounced glial atrophy of Bergmeister's papilla. GODC is a type of ascending optic nerve atrophy that is associated with the loss of retinal ganglion cell axons.
As glaucoma advances, the cup enlarges until it occupies most of the disc area. The cup-to-disc ratio compares the diameter of the "cup" portion of the optic disc with the total diameter of the optic disc. A good analogy to better understand the cup-to-disc ratio is the ratio of a donut hole to a donut.
Abstract: : Cup to disc asymmetry is considered a characteristic risk factor in the diagnosis of primary open angle glaucoma.
Significant asymmetric cupping of the optic discs, as shown here, occurs in less than 2% of the normal population. Therefore, asymmetric optic nerve cupping may indicate glaucomatous optic nerve damage in the eye with the larger cup.
Anatomical terminology. The optic cup is the white, cup-like area in the center of the optic disc. The ratio of the size of the optic cup to the optic disc (cup-to-disc ratio, or C/D) is one measure used in the diagnosis of glaucoma. Different C/Ds can be measured horizontally or vertically in the same patient.
Optic Cup is the bright central part of the optic disc and which is an essential parameter for detecting glaucoma. Compared to the optic disc, the optic cup is smaller in size. For a healthy patient, the optic cup shape is one-third of the optic disc.
Individuals with glaucoma have increased IOP or consequent loss of blood flow to some regions of the eye, resulting in the death of optic nerve cells. The center of the optic disc (known as the cup) becomes larger, and the cup to optic disc ratio increases alarmingly. This process is referred to as optic nerve cupping.
Optic disc thinning and cupping Violations of the ISNT rule should raise suspicion for glaucoma. In glaucoma, the inferior and superior rims are affected first. As the rims become thinner, you will see cupping of the disc – an increased cup to disc (C/D) ratio.