what is the icd code for pseudoexfoliate cataract

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What is the ICD-10 code for Pseudoexfoliation of lens capsule?

Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only. Question: What is the ICD-10 code for pseudoexfoliation of lens capsule? Answer: H25.89 Other age-related cataract.

What is pseudoexfoliation cataract surgery?

Cataracts & Pseudoexfoliation. The fifth step of cataract surgery is to place the IOL inside the cataract’s residual capsular bag, directly in front of the posterior capsule and centered behind the pupil. This requires very delicate surgical maneuvers inside the eye, which experienced pseudoexfoliation cataract surgeons have mastered.

Is pseudoexfoliation a diagnosis for glaucoma?

We have an Ophthalmologist who is documenting Pseudoexfoliation as a diagnosis. I explained to him that we don't have a code for this alone and need to know if this is glaucoma or cataract related.

Is the information on Pseudoexfoliation of lens capsule copyrighted?

Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only. Question: What is the ICD-10 code for pseudoexfoliation of lens capsule?

What is the ICD-10 code for pseudoexfoliation?

Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, moderate stage. H40. 1492 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is pseudoexfoliation cataract?

Pseudoexfoliation (PXF) syndrome is characterized by the deposition of distinctive fibrillar material in the anterior segment of the eye. It is an age-related process that is associated with open and narrow angle glaucomas and the formation of cataracts.

What is pseudoexfoliation in the eye?

Pseudoexfoliation syndrome (PXF or PEX) is an age-related systemic syndrome that targets mainly ocular tissues through the gradual deposition of fibrillary white flaky material from the lens, mainly on the lens capsule, ciliary body, zonules, corneal endothelium, iris and pupillary margin.

What is the correct code for capsular glaucoma with pseudoexfoliation of lens?

ICD-10-CM Code for Capsular glaucoma with pseudoexfoliation of lens, right eye, moderate stage H40. 1412.

Is Pseudoexfoliation a type of glaucoma?

In fact, pseudoexfoliative glaucoma is the most common form of secondary open angle glaucoma. Not all patients with PXF develop glaucoma and it is difficult to predict which patients are more susceptible.

Is Pseudoexfoliation unilateral?

Background Clinically, most patients with pseudoexfoliation (PEX) syndrome reveal only unilateral ocular involvement. However, the generalized nature of the disorder suggests that PEX syndrome is clinically asymmetric rather than strictly unilateral.

Why is it called pseudoexfoliation?

It is called 'pseudoexfoliation' to differentiate it from true exfoliation which is due to heat or infrared related changes in anterior lens capsule.

Can you have pseudoexfoliation without glaucoma?

PXF glaucoma is the most common form of open-angle worldwide with an identifiable etiology. The presence of PXF material is associated with an increased risk of developing glaucoma, but can be present in the eye without associated glaucoma.

What causes pseudoexfoliation of the lens capsule?

Pseudoexfoliation (PEX) syndrome is a well-recognized late-onset disease caused by a generalized fibrillopathy. It is linked to a broad spectrum of ocular complications including glaucoma and perioperative problems during cataract surgery.

How is a glaucoma stage reported in ICD 10?

Moderate stage glaucoma is noted with a “2” as the final digit in the diagnosis code. As in the example above, moderate stage open angle glaucoma with borderline findings and low risk the ICD-10 code would be H40. 011X2 for the right eye and H40. 012X2 for the left eye.

How is a glaucoma reported in ICD 10?

This damage is often caused by abnormally high pressure in the eye. Per the ICD-10-CM Official Guidelines for Coding and Reporting, assign as many codes from category H40. - (glaucoma) as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

What is indeterminate stage glaucoma?

*365.74 Indeterminate (visual fields not performed yet, or patient incapable of visual field testing, or unreliable/uninterpretable visual field testing) *365.70 Unspecified, stage not recorded in chart. It is important to document the stage in the patient's medical record.

Not Valid for Submission

366.11 is a legacy non-billable code used to specify a medical diagnosis of pseudoexfoliation of lens capsule. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

Convert 366.11 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

Information for Medical Professionals

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:

Information for Patients

A cataract is a clouding of the lens in your eye. It affects your vision. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.

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 the name of the membrane that is left behind after cataract surgery?

During phacoemulsification a tiny remnant of the cataract is left behind; a transparent membrane known as the posterior capsule. Since cataract surgery removes the focusing lens of the eye, a new lens must be placed inside the eye where the cataract used to be. This is called an intraocular lens implant or IOL.

How is cataract surgery done?

Modern, state of the art cataract surgery is done through a tiny incision (1/8 of an inch) in the eye using a procedure known as phacoemulsification – high frequency ultrasound that dissolves the cataract and vacuums it out of the eye. During phacoemulsification a tiny remnant of the cataract is left behind; a transparent membrane known as ...

What happens when you push a cataract?

Pseudoexfoliation flakes damage and weaken the microscopic lens zonules that hold the cataract in position during the surgery. Excessive pressure, pulling or pushing of the lens zonules during the phacoemulsification step of cataract surgery may result in the cataract falling into the back of the eye on the retina or optic nerve.

What happens if you don't see a slit lamp in a cataract?

If the cataract is not examined with a slit lamp through a DILATED pupil preoperatively, then the surgeon may miss the diagnosis of pseudoexfoliation and will not be prepared for the sudden, unusual difficulties that can occur during surgery.

Where is the IOL placed in cataract surgery?

The fifth step of cataract surgery is to place the IOL inside the cataract’s residual capsular bag, directly in front of the posterior capsule and centered behind the pupil. This requires very delicate surgical maneuvers inside the eye, which experienced pseudoexfoliation cataract surgeons have mastered.

How many cataract surgeries are done in the USA every year?

As a result, nearly 4 million cataract operations are done in the USA every year. As people live longer this number is expected to increase in years to come. A pseudoexfoliation eye with a cataract is typically much more difficult to operate on than a routine cataract (see details in paragraphs below).

Can you be surprised by pseudoexfoliation?

Although surgeons agree that it’s possible to be surprised by the presence of pseudoexfoliation when you get to the operating room, most cases can be discovered by noting warning signs during the preop exam.

Can Iris hooks be used for cataract surgery?

These strategies can help the cataract surgery go well and produce a good result: • Iris hooks can be used for capsule support if capsule hooks are not available. “In cases of pseudoexfoliation you’ll see some areas of zonular laxity,” says Dr. Zhang.

Is pseudoexfoliation a concern for cataract surgery?

Pseudoexfoliation has long been known to be a concern when performing cataract surgery. The likelihood of a problematic iris, weakened zonules, postop glaucoma and serious problems occurring years later are issues a cataract surgeon needs to address before, during and after surgery.

Is pseudoexfoliation unilateral?

Pseudoexfoliation may be unilateral, so a difference between the eyes could indicate a problem.”. “The other part of this,” adds Dr. Devgan, “is that when you get to the OR and the patient lies down, gravity will pull the bag and iris back and the anterior chamber will become really deep.