icd 9 code for orbital mass

Full Answer

What is the ICD 10 code for disorders of orbit?

Other disorders of orbit 1 H05.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM H05.89 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H05.89 - other international versions of ICD-10 H05.89 may differ.

What is the ICD 9 code for mass of eye?

2012 ICD-9-CM Diagnosis Code 379.92. Swelling or mass of eye. ICD-9-CM 379.92 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 379.92 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 10 code for orbital dysplasia?

Other disorders of orbit. H05.89 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 H05.89 became effective on October 1, 2019. This is the American ICD-10-CM version of H05.89 - other international versions of ICD-10 H05.89 may differ.

What is the ICD 10 code for orbital floor fracture?

ICD-10-CM Diagnosis Code S02.3 Fracture of orbital floor orbit NOS (S02.85); lateral orbital wall (S02.84-); medial orbital wall (S02.83-); orbital roof (S02.1-); Fracture of inferior orbital wall ICD-10-CM Diagnosis Code R22.9 [convert to ICD-9-CM]

Not Valid for Submission

376.11 is a legacy non-billable code used to specify a medical diagnosis of orbital granuloma. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

Information for Medical Professionals

References found for the code 376.11 in the Index of Diseases and Injuries:

Information for Patients

Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.

ICD-9 Footnotes

General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Not Valid for Submission

921.2 is a legacy non-billable code used to specify a medical diagnosis of contusion of orbital tissues. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

Information for Medical Professionals

References found for the code 921.2 in the Index of Diseases and Injuries:

Information for Patients

The structure of your face helps protect your eyes from injury. Still, injuries can damage your eye, sometimes severely enough that you could lose your vision. Most eye injuries are preventable. If you play sports or work in certain jobs, you may need protection.

ICD-9 Footnotes

General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. 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 orbital malignancy?

Rhabdomyosarcoma is the most common soft tissue malignancy of childhood, as well as the most common primary orbital malignancy. This is a life-threatening disease often seen initially by ophthalmologists, requiring prompt diagnosis and treatment. While it have a predisposition for development in children younger than 8 years of age, it has been diagnosed in patients throughout adulthood, all the way up to a 78 year-old patient. Proptosis in patients with orbital rhabdomyosarcoma can develop extremely quickly over weeks, along with rapid development of orbital displacement. Rapid proptosis tends to occur more often in newborns and infants, with older children and adults trending more towards a slower course that does not attain as large of a size. The orbital displacement in advanced cases tends to be downwards and outwards secondary to the typical supernasal involvement of these tumors. Distant metastases are currently uncommon thanks to advances in diagnosis and treatment. If it does occur, it tends to metastasize to bone and lung through a hematogenous route rather than a lymphatic route, possibly due to the absence of lymphatics in the orbit. Local invasion of orbital bones with intracranial extension can occur, causing concern for mass effect and other symptoms .Most commonly, imaging is performed with CT scan after the initial signs and symptoms of an orbital mass are identified. The imaging will show a well-circumscribed, homogenous, round-ovoid mass that is isodense to muscle with moderate to marked enhancement with contrast in the early stages. As the lesion progresses bone erosion and extension into the sinuses or nasopharynx may appear, occurring in up to 40% of patients. MRI can be used to aid in visualization of disease extent for assistance in surgical excision. Importantly, fat suppression techniques are necessary to help distinguish the tumor from fat present in the orbit. Biopsy and histopathologic evaluation is necessary to establish the diagnosis before therapy is begun.Management of this disease has changed drastically in the last several decades and currently consists of a combination of surgery, irradiation, and chemotherapy. Since this is a life-threatening condition, treatment should not be delayed.

What causes masses in the orbit?

Infection. A wide variety of infectious etiologies exist that may cause masses in the orbit. When faced with an orbital inflammatory process, infections should remain at the top of the list of differential diagnoses. The most common bacterial infections of the orbit are Staphylococcus aureus, Streptococcus, and HiB.

What is orbital schwannomas?

Schwannomas are nerve sheath tumor that constitutes around 1% of orbital tumors. The orbital tumors tend to appear in young and middle-aged adults, arising from the intraorbital branches of cranial nerve V1. Symptoms that arise tend to be secondary to mass effect and include gradual nonpulsating proptosis and lid swelling early, and diplopia, ocular motility restriction, mild visual acuity impairment, and symptoms of optic nerve compression later in the diseases progression. Proptosis tends to occur inferiorly, as the primary involvement in 40-60% of orbital schwannomas is located in the superior quadrant. Because of this superior quadrant involvement, anywhere from 16-24% of orbital schwannomas can extend into the superior orbital fissure .

What is orbital venous varices?

Orbital venous varices (AKA orbital varices), are venous malformations that consist of low-pressure plexuses that may “intermingle” with other proper orbital vessels. Orbital varices may rarely present with periorbital pain, intermittent proptosis, vision loss, or an orbital mass. They are rare, abnormally thin-walled veins that are typically distensible. Since they are part of the venous system, the flow is typically low, causing them to be classically asymptomatic. They can cause intermittent proptosis which can be induced by increasing the orbital pressure by Valsalva, coughing, or straining. Cases have been reported of thrombosis of these varices, causing intermittent periorbital pain, unilateral proptosis, or acute visual loss. Diagnosis is made with contrast-enhanced CT of the head and orbits showing a non-heterogeneous, serpiginous soft tissue mass in the orbit. Treatment may include conservative management with LMWH if a thrombus is present, however surgical excision or endovascular CO2 laser ablation have been attempted with success for more serious cases.

What is the most common part of the orbit?

Any part of the orbit can be involved, with the superolateral (or “extraconal”) aspect of the orbit being most common . Imaging studies used to aid in diagnosis of orbital lymphoma include CT and MRI of the orbit in order to identify size and anatomical location.

What are orbital lymphoma?

Malignant lymphoma and reactive lymphoid lesions can both be present in the orbit, and can sometimes be grouped as “orbital lymphoid lesions. These masses combined comprise between 10-15% of all orbital tumors and up to 55% of malignant orbital masses Both diseases present similarly with minimal pain and mild unilateral proptosis. Other common ocular symptoms revolving around orbital lymphoid lesions include limited eye motility, ptosis, changes in visual acuity, diplopia, chemosis/edema, and displacement of the eye. Interestingly, only around 8% of patients presented in with classic B-symptoms in a large retrospective review by Olsen and Heegaard. Presentations also vary between differing types of lymphomas, with a large majority of B-cell lymphomas presenting as unilateral tumors, with other subtypes presenting unilaterally or bilaterally. Any part of the orbit can be involved, with the superolateral (or “extraconal”) aspect of the orbit being most common .

What is orbital inflammatory pseudotumor?

Also known as orbital inflammatory pseudotumor, this idiopathic process presents with tumor-like symptoms with a pleomorphic cellular response and fibrovascular tissue reactions. Typical presentation revolves around acute onset, rapidly progressive deep, boring orbital pain and headache. Proptosis, lid swelling, chemosis, and decreased ocular motility with tenderness may be present as well. Vision loss can occur, but is less common than double vision, pain with eye movement, or light sensitivity. Classically symptoms are unilateral, but children typically present with bilateral disease. Subclassifications exist based on the location of the disease and can be categorized as anterior, diffuse or posterior and pathological findings after biopsy and histopathologic evaluation, which can vary widely.Diagnosis is made by excluding conditions such as granulomatosis with polyangiitis, GCA, SLE, dermatomyositis, and rheumatoid arthritis. Biopsy may be used to aid in diagnoses that are unclear or the etiology remains in question after medical therapy is ineffective or incomplete.Treatment revolves around administration of corticosteroids, radiotherapy, and other immunosuppressants like methotrexate, cyclosporine, and infliximab