3rd Party News: 2019 Edition - nebraska.aoa.org ICD-10... · The codes included in this ID- í ì...
Transcript of 3rd Party News: 2019 Edition - nebraska.aoa.org ICD-10... · The codes included in this ID- í ì...
1
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 1
Again this year the NOA has created a special ICD-10 issue of the 3rd Party Newsletter. This edition incorporates the additions and embellishments found in the 2019 revision of ICD-10 CM. These new diagnosis codes must be used when filing claims on or after October 1 of
this year, just two months from now.
How or why should you use this resource? If your claim’s diagnosis codes are dependent on electronic health record software, these tables will help confirm the accuracy of your EHR ICD-10 diagnosis coding. If you file otherwise, we think you’ll find the following pages more comprehensive
and easier to follow than some other resources.
You can find a diagnosis code by using the index above, which is based on anatomical location. Or, easier yet, use your computer’s CNTRL-F function. Simply hold down the control key on your keyboard and then strike the F key. A box will appear where you can enter the diagnosis
term or code of interest.
The codes included in this ICD-10 3rd Party Newsletter are those most commonly used by ODs, but our tables are not all-inclusive. Should you need additional help, another resource can be found online at ICD-10 Data.com. If need more help, you have internet access to the entire list of ICD-10 diagnoses online. Go to page 14 of this document for instructions on downloading the entire 2018 ICD-10 CM TABULAR LIST and the 2018
ICD-10 INDEX.
We believe our tables to be error free; however, remember that Dr. Quack is a feather-brained duck! We’ve done our best, but there are no
guarantees...use at your own risk!! Thanks to Jen Petersen and Dr. Jeremy Baumfalk for their help on previous issues of this document.
Note on colors: the codes in the green boxes remain unchanged from 2018. The codes in the blue boxes are new or revised for 2019. The codes in
either colored box should be billable; however, avoid any code entitled “unspecified”. Do not bill codes in white boxes.
• Refractive Error P.2.
• Lids and Lashes P.3.
• Lid malignancies P.2.
• Cornea Pg.4.
• Conjunctiva P.5.
• A/C, Pupils, Iris, Sclera P.6.
• Lens P.6.
• Vitreous Retina Choroid P.7.
• Diabetic Retinopathy P.8.
• IOT and Glaucoma Pp. 9 & 10
• Optic Nerve P.10.
• Macula, Macular Degeneration
P.11.
• Functional (Amblyopia, phorias,
etc.) P.11
• Strabismus P.12.
• Systemic Dx. P.12.
• Visual Field Defect P.12
• Blindness & Low Vision P.13.
• Other (HA, drug therapy, etc.)
P.13.
• Instructions on downloading en-tire 2018 ICD-10 CM index and
tabular list P.14.
CONTENTS
3rd Party News: 2019 ICD-10 CM Edition
Use CNTRL- F to search for a specific diagnosis, term, or ICD code.
2
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 2
RETURN TO INDEX PAGE
Refractive Error
ICD 9 Dx ICD 10 OD OS OU Unspecified Eye
367.21 Regular Astigmatism H52.221 H52.222 H52.223 H52.229
367.22 Irregular Astigmatism H52.211 H52.212 H52.213 H52.219
367.0 Hyperopia H52.01 H52.02 H52.03 H52.00
367.1 Myopia H52.11 H52.12 H52.13 H52.10
Myopia- Degenerative w/ choroidal neovascularization H44.2A1 H44.2A2 H44.2A3 H44.2A9
Myopia- Degenerative w/ macular hole H44.2B1 H44.2B2 H44.2B3 H44.2B9
Myopia- Degenerative w/ retinal detachment H44.2C1 H44.2C2 H44.2C3 H44.2C9
Myopia- Degenerative w/ foveoschesis H44.2D1 H44.2D2 H44.2D3 H44.2D9
Myopia- Degenerative w/ other maculopathy H44.2E1 H44.2E2 H44.2E3 H44.2E9
367.4 Presbyopia H52.4
V72.0
Routine Eye Exam Z01.0
…...W/O abnormal findings Z01.00
…….Wth abnormal findings Z01.01
Lid Malignancies/neoplasms
ICD 9 Dx ICD 10 OD - Rt Upper
& Lower Lid RT Upper lid RT Lower Lid OD Unspec.Lid
OS - Lt Upper
& Lower Lid LT Upper Lid LT Lower Lid OS Unspec. Lid OU
Unspecified Eye & Un-
specified Lid
Malignant melanoma of eyelid, including canthus C43.1 C43.111 C43.112 C43.11 C43.121 C43.122 C43.12
Merkel cell carcinoma of eyelid, including canthus C4A.1 C4A.111 C4A.112 C4A.11 C4A.121 C4A.122 C4A.12
Unspecified malignant neoplasm of skin of eyelid, including canthus C44.10 C44.1021 C44.1022 C44.102 C44.1091 C44.1092 C44.109
Basal cell carcinoma of skin of eyelid, including canthus C44.11 C44.1121 C44.1122 C44.112 C44.1191 C44.1192 C44.119
Squamous cell carcinoma of skin of eyelid, including canthus C44.12 C44.1221 C44.1222 C44.122 C44.1291 C44.1292 C44.129
Sebaceous cell carcinoma of skin of eyelid, including canthus C44.13 C44.1321 C44.1322 C44.132 C44.1391 C44.1392 C44.139 C44.131
Other specified malignant neoplasm of skin of eyelid, inculding canthus C44.19 C44.1921 C44.1922 C44.192 C44.1991 C44.1992 C44.199
Melanoma in situ of eyelid, including canthus D03.1 D03.111 D03.112 D03.11 D03.121 D03.122 D03.12
Carcinoma in situ of skin of eyelid, including canthus D04.1 D04.111 D04.112 D04.11 D04.121 D04.122 D04.12
Other benign neoplasm of skin of eyelid D23.1 D23.111 D23.112 D23.11 D23.121 D23.122 D23.12
3
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 3 Lids and Lashes
Dx ICD 10 OD - Rt Upper &
Lower Lid RT Upper lid RT Lower Lid
OD Un-
spec.Lid
OS - Lt Upper &
Lower Lid LT Upper Lid LT Lower Lid OS Unspec. Lid OU
Unspecified Eye &
Unspecified Lid
Blepharitis, Unspecified H01.00 H01.00A H01.001 H01.002 H01.003 H01-00B H01.004 H01.005 H01.006 H01.009
Blepharitis, Ulcerative H01.01 H01.02A H01.011 H01.012 H01.013 H01-01B H01.0104 H01.015 H01.016 H01.019
Blepharitis, Squamous H01.02 H01.01A H01.021 H01.022 H01.023 H01-02B H01.024 H01.025 H01.026 H01.029
Blepharoconjunctivitis, Unspecified H10.501 H10.502 H10.503 H10.509
Blepharochalsis, Unspecified H02.31 H02.32 H02.33 H02.34 H02.35 H02.36 H02.30
Blepharospasm G24.5
Chalazion H00.11 H00.12 H00.13 H00.14 H00.15 H00.16 H00.19
Dacryocystitis, Unspecified H04.301 H04.302 H04.303 H04.309
Dermatochalasis H02.831 H02.832 H02.833 H02.834 H02.835 H02.836 H02.839
Dermatitis Allergic H01.111 H01.112 H01.113 H01.114 H01.115 H01.116 H01.119
Ecchymosis: Contusion of eyelid & periocular area
…..Initial visit S00.11XA S00.12XA S00.10XA
…..Subsequent visit S00.11XD S00.12XD S00.10XD
…..Sequela visit S00.11XS S00.12XS S00.10XS
Entropian H02.001 H02.002 H02.003 H02.004 H02.005 H02.006 H02.009
Ectropian, Unspecified H02.10 H02.101 H02.102 H02.103 H02.104 H02.105 H02.106 H02.109
Ectropian, Cicatrical H02.11 H02.111 H02.112 H02.113 H02.114 H02.115 H02.116 H02.119
Ectropian, Mechanical H02.12 H02.121 H02.122 H02.123 H02.124 H02.125 H02.126 H02.129
Ectropian, Senile H02.13 H02.131 H02.132 H02.133 H02.134 H02.135 H02.136 H02.139
Ectropian, Spastic H02.14 H02.141 H02.142 H02.143 H02.144 H02.145 H02.146 H02.149
Ectropian, Paralytic H02.15 H02.151 H02.152 H02.153 H02.154 H02.155 H02.156 H02.159
Lagophthalmos, Unspecified H02.20 H02.20A H02.201 H02.202 H02.203 H02.20B H02.204 H02.205 H02.206 H02.20C H02.209
Lagophthalmos, Cicatrical H02.21 H02.21A H02.211 H02.212 H02.213 H02.21B H02.214 H02.215 H02.216 H02.21C H02.219
Lagophthalmos, Mechanical H02.22 H02.22A H02.221 H02.222 H02.223 H02.22B H02.224 H02.225 H02.226 H02.22C H02.229
Lagophthalmos, Paralytic H02.23 H02.23A H02.231 H02.232 H02.233 H02.23B H02.234 H02.235 H02.236 H02.23C H02.239
Epiphoral, Unspecified H04.20 H04.201 H04.202 H04.203 H04.209
Epiphoria , w/excess lacrimation H04.211 H04.212 H04.213 H04.219
Epiphoria, insufficient drainage H04.22 H04.221 H04.222 H04.223 H04.229
Eyelid Edema H02.841 H02.842 H02.843 H02.844 H02.845 H02.846 H02.849
Hordeolum Externum H00.011 H00.012 H00.013 H00.014 H00.015 H00.016 H00.019
Meibomianitis (Hordeolum Internum) H00.021 H00.022 H00.023 H00.024 H00.025 H00.026 H00.029
Meibomian Gland Dysfunction H02.88 H02.88A H02.881 H02.882 H02.883 H02.88B H02.884 H02.885 H02.886 H02.889
Ptosis, Unspecified H02.401 H02.402 H02.403 H02.409
Ptosis, Brow H57.81 H57.811 H57.812 H57.813 H57.819
Periorbital Cellulitis L03.213
Trichiasis w/o Entropian H02.051 H02.052 H02.053 H02.054 H02.055 H02.056 H02.059
Benign Neoplasm of Eyelid D23.10
PAGE 3
4
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 4
RETURN TO INDEX PAGE
Cornea
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
372.51 Pinguecula H11.151 H11.152 H15.153 H11.159
918.1
Corneal Abrasion w/o foreign body…..
…..Initial visit S05.01XA S05.02XA S05.00XA
…..Subsequent visit S05.01XD S05.02XD S05.00XD
…..Sequela visit S05.01XS S05.02XS S05.00XS
371.57 Corneal Dystrophy Endothelial H18.51
371.50 Corneal Dystrophy Unspecified H18.50
371.20 Corneal Edema, Unspecified H18.20
930.0
Corneal Foreign Body…..
…..Initial visit T15.01XA T15.02XA T15.00XA
…..Subsequent visit T15.01XD T15.02XD T15.00XD
…..Sequela visit T15.01XS T15.02XS T15.00XS
371.20 Corneal Infiltrate H18.20
370.60 Corneal Neovascularization, Unspecified H16.401 H16.402 H16.403 H16.409
371.00 Corneal Opacity, Central H17.11 H17.12 H17.13 H17.10
Corneal Opacity, peripheral H17.821 H17.822 H17.823 H17.829
370.00 Corneal Ulcer, Unspecified H16.001 H16.002 H16.003 H16.009
Corneal Ulcer, Central H16.011 H16.012 H16.013 H16.019
375.15 Dry Eye Syndrome H04.121 H04.122 H04.123 H04.129
370.20 Keratitis, Unspecified superficial H16.101 H16.102 H16.103 H16.109
370.21 Keratitis, Punctate H16.141 H16.142 H16.143 H16.149
371.60
Keratoconus, Unspecified H18.601 H18.602 H18.603 H18.609
Keratoconus, Stable H18.611 H18.612 H18.613 H18.619
Keratoconus, Unstable H18.621 H18.622 H18.623 H18.629
372.40 Pterygium, Unspecified H11.001 H11.002 H11.003 H11.009
V42.5 Corneal Transplant Status [Secondary diagnosis only] Z94.7
371.42 Recurrent Corneal Erosion H18.831 H18.832 H18.833 H18.839
054.43
Herpesviral Keratitis/keratoconjuntivitis B00.52
Herpes Zoster Ocular Disease Unspecified B02.30
Herpes Zoster Ocular Disease Conjunctivitis B02.31
Herpes Zoster Ocular Disease Iridocyclitis B02.32
Herpes Zoster Ocular Disease Keratitis B02.33
Herpes Zoster Ocular Disease Scleritis B02.34
Herpes Zoster Ocular Disease Other B02.39
5
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 5
RETURN TO INDEX PAGE
Conjunctiva
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
918.2
Conjunctiva Abrasion…..
…..Initial visit S05.01XA S05.02XA S05.00XA
…..Subsequent visit S05.01XD S05.02XD S05.00XD
…..Sequela visit S05.01XS S05.02XS S05.00XS
372.54 Conjunctiva Concretions H11.121 H11.122 H11.123 H11.129
930.1
Conjunctiva Foreign Body**
…..Initial visit T15.11XA T15.12XA T15.10XA
…..Subsequent visit T15.11XD T15.12XD T15.10XD
…..Sequela visit T15.11XS T15.12XS T15.10XS
372.72 Conjunctival Hemorrhage H11.31 H11.32 H11.33 H11.30
372.10
Chronic Conjunctivitis Unspecified H10.401 H10.402 H10.403 H10.409
Acute Conjunctivitis Unspecified H10.31 H10.32 H10.33 H10.30
Acute Atopic Conjunctivitis H10.11 H10.12 H10.13 H10.10
Keratoconjunctivitis due to adenovirus B30.0
Conjunctivitis due to adenovirus B30.1
Viral Pharyngoconjunctivitis B30.2
Acute epidemic hemorrhagic conjunctivitis B30.3
Other viral conjunctivitis B30.8
Viral Conjunctivitis Unspecified B30.9
224.3 Benign Neoplasm Conjunctiva D31.01 D31.02 D31.00
372.75 Conjunctival Cyst H11.441 H11.442 H11.443 H11.449
6
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 6
Lens
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
366.12 Cataract Incipient "Other" H25.091 H25.092 H25.093 H25.099
366.13 Cataract Anterior subcapsular H25.031 H25.032 H25.033 H25.039
366.14 Cataract Poster subcapsular H25.041 H25.042 H25.043 H25.049
366.15 Cataract Cortical Incipient H25.011 H25.012 H25.013 H25.019
366.16 Cataract Nuclear sclerotic H25.11 H25.12 H25.13 H25.10
366.17 Cataract Mature - Other Age Related Cataract H25.89
366.18 Cataract Hypermature morgagnian H25.21 H25.22 H25.23 H25.20
379.31 Aphakia H27.01 H27.02 H27.03 H27.00
V43.1 Pseudophakia [Secondary diagnosis only] Z96.1
366.53 Capsular Haze - other secondary cataract H26.491 H26.492 H26.493 H26.499
RETURN TO INDEX PAGE
A/C, Pupil, Iris, Sclera
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
379.00 Episcleritis Unspecified H15.101 H15.102 H15.103 H15.109
364.41 Hyphema H21.01 H21.02 H21.03 H21.00
364.00
Iridocyclitis Primary H20.011 H20.012 H20.013 H20.019
Iridocyclitis Recurrent Acute H20.021 H20.022 H20.023 H20.029
Iridocyclitis Secondary Infectious H20.031 H20.032 H20.033 H20.039
Iridocyclitis Secondary Noninfectious H20.041 H20.042 H20.043 H40.049
Iridocyclitis Chronic H20.11 H20.12 H20.13 H20.10
Iridocyclitis Lens-induced H20.21 H20.22 H20.23 H20.20
Iridocyclitis Unspecified H20.9
364.53 Degeneration of Iris - pigmentary H21.231 H21.232 H21.233 H21.239
379.40
Pupil Anomaly - other congenital malformation of iris Q13.2
Pupil - unspecified anomaly of pupillary function H57.00
Argyll Robertson Pupil, atypical H57.01
Anisocoria H57.02
Miosis H57.03
Mydriasis H57.04
Tonic Pupil H57.051 H57.052 H57.053 H57.059
Other anomalies of pupillary function H57.09
379.00
Scleritis Unspecified H15.001 H15.002 H15.003 H15.009
Anterior Scleritis H15.011 H15.012 H15.013 H15.019
Other Scleritis H15.091 H15.092 H15.093 H15.099
363.20 Unspecified chorioretinal inflammation H30.91 H30.92 H30.93 H30.90
224.0 Benign Neoplasm Ciliary body D31.41 D31.42 D31.40
7
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 7
RETURN TO INDEX PAGE
Vitreous
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
379.22 Crystalline Deposits in Vitreous Body (asteroid hyalosis) H43.21 H43.22 H43.23 H43.20
379.21 Vitreous Degeneration (detachment) H43.811 H43.812 H43.813 H43.819
379.23 Vitreous Hemorrhage H43.11 H43.12 H43.13 H43.10
379.24 Other Vitreous Opacities (floaters) H43.391 H43.392 H43.393 H43.399
Retina Choroid
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
224.6 Chorodial Nevus D31.31 D31.32 D31.30
363.20 Chorioretinitis - Unspecified disseminated Chorioretinal inflammation H30.101 H30.102 H30.103 H30.109
363.30 Chorioretinal Scar - Unspecified H31.001 H31.002 H31.003 H31.009
361.01 Retinal Detachment - Unspecified - with break [new or old] H33.001 H33.002 H33.003 H33.009
Retinal Detachment -Serous - w/o break H33.21 H33.22 H33.23 H33.20
361.10 Retinoschisis - Unspecified H33.101 H33.102 H33.103 H33.109
361.30 Retinal break w/o detachment - Unspecified H33.301 H33.302 H33.303 H33.309
361.32 Retinal HorseshoeTear w/o detachment H33.311 H33.312 H33.313 H33.319
361.31 Retinal Hole H33.321 H33.322 H33.323 H33.329
362.11 Hypertensive Retinopathy H35.031 H35.032 H35.033 H35.039
362.30 Retinal Vascular Occlustion H34.9
Central Retinal Vein Occlusion with Macular Edema H34.8110 H34.8120 H34.8130 H34.8190
Central Retinal Vein Occlusion with Retinal Neovacularization H34.8111 H34.8121 H34.8131 H34.8191
Central Retinal Vein Occlusion - Stable H34.8112 H34.8122 H34.8132 H34.8192
Tributary Retinal Vein Occlusion with Macular Edema H34.8310 H34.8320 H34.8330 H34.8390
Tributary Retinal Vein Occlusion with Retinal Neovacularization H34.8311 H34.8321 H34.8331 H34.8391
Tributary Retinal Vein Occlusion - Stable H34.8312 H34.8322 H34.8332 H34.8392
362.57 Retinal Drusen (macula) H35.361 H35.362 H35.363 H35.369
362.60 Retinal Degeneration Peripheral - Unspecified H35.40
362.63 Lattice Degeneration H35.411 H35.412 H35.413 H35.419
362.74 Retinitis Pigmentosa - Pigmentary Retinal Dystrophy H35.52
362.76 Retinal Pigment Epithelium Dystrophy H35.54
362.81 Retinal Hemorrhage H35.61 H35.62 H35.63 H35.60
362.82 Retital Exudates/Deposits - Other Specified Retinal Disorders H35.89
362.83 Retinal Edema H35.81
8
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 8
RETURN TO INDEX PAGE
TYPE 1 Diabetic Retinopathy WITHOUT Macular Edema
ICD 9 ICD 10 OD OS OU Unspecified eye
Non-proliferative Mild E10.3291 E10.3292 E10.3293 E10.3299
Non-proliferative Moderate E10.3391 E10.3392 E10.3393 E10.3399
Non-proliferative Severe E10.3491 E10.3492 E10.3493 E10.3499
Proliferative E10.3591 E10.3592 E10.3593 E10.3599
TYPE 1 Diabetic Retinopathy WITH Macular Edema
ICD 9 ICD 10 OD OS OU Unspecified eye
Non-proliferative Mild E10.3211 E10.3212 E10.3213 E10.3219
Non-proliferative Moderate E10.3311 E10.3312 E10.3313 E10.3319
Non-proliferative Severe E10.3411 E10.3412 E10.3413 E10.3419
Proliferative E10.3511 E10.3512 E10.3513 E10.3519
Resolved following treatment E10.37X1 E10.37X2 E10.37X3 E10.37X9
TYPE 1 Diabetic Retinopathy WITH Retinal Detachment
ICD 9 ICD 10 OD OS OU Unspecified eye
Prolifrtive retinopthy w/ tractional detachmt involving macula E10.3521 E10.3522 E10.3523 E10.3529
Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E10.3531 E10.3532 E10.3533 E10.3539
Prolif. Retpthy w/ tractional & rhegmatogenous detachment E10.3541 E10.3542 E10.3543 E10.3549
TYPE 2 Diabetic Retinopathy WITHOUT Macular Edema
ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye
Non-proliferative Mild E11.3291 E11.3292 E11.3293 E11.3299
Non-proliferative Moderate E11.3391 E11.3392 E11.3393 E11.3399
Non-proliferative Severe E11.3491 E11.3492 E11.3493 E11.3499
Proliferative E11.3591 E11.3592 E11.3593 E11.3599
TYPE 2 Diabetic Retinopathy WITH Macular Edema
ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye
Non-proliferative Mild E11.3211 E11.3212 E11.3213 E11.3219
Non-proliferative Moderate E11.3311 E11.3312 E11.3313 E11.3319
Non-proliferative Severe E11.3411 E11.3412 E11.3413 E11.3419
Proliferative E11.3511 E11.3512 E11.3513 E11.3519
Resolved following treatment E11.37X1 E11.37X2 E11.37X3 E11.37X9
TYPE 2 Diabetic Retinopathy WITH Retinal Detachment
ICD 9 ICD 10 OD OS OU Unspecified eye
Prolifrtive retinopthy w/ tractional detachmt involving macula E11.3521 E11.3522 E11.3523 E11.3529
Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E11.3531 E11.3532 E11.3533 E11.3539
Prolif. Retpthy w/ tractional & rhegmatogenous detachment E11.3541 E11.3542 E11.3543 E11.3549
9
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 9
IOT & Glaucoma
ICD 9 Glaucoma Suspect OD OS OU Unspecified eye
365.01 Open Angle with borderline findings Low Risk H40.011 H40.012 H40.013 H40.019
Open Angle with borderline findings High Risk H40.021 H40.022 H40.023 H40.029
365.02 Anatomical Narrow Angle H40.031 H40.032 H40.033 H40.039
365.04 Ocular Hypertension H40.051 H40.052 H40.053 H40.059
365.11
Primary Open Angle Glaucoma OD OS OU Unspecified eye
Open Angle Glaucoma Stage Unspecified H40.1110 H40.1120 H40.1130 H40.1190
Open Angle Glaucoma Mild H40.1111 H40.1121 H40.1131 H40.1191
Open Angle Glaucoma Moderate H40.1112 H40.1122 H40.1132 H40.1192
Open Angle Glaucoma Severe H40.1113 H40.1123 H40.1133 H40.1193
Open Angle Glaucoma Indeterminate H40.1114 H40.1124 H40.1134 H40.1194
365.20
Primary Angle Closure Glaucoma Unspecified
[PCAG ICD-10 codes are not broken down by eye] ICD-10
Primary Angle Closure Glaucoma Unspecified H40.20X0
Primary Angle Closure Glaucoma Mild H40.20X1
Primary Angle Closure Glaucoma Moderate H40.20X2
Primary Angle Closure Glaucoma Severe H40.20X3
Primary Angle Closure Glaucoma Indeterminate H40.20X4
365.12
Low Tension Glaucoma (2ndary to POAG) OD OS OU Unspecified eye
Low Tension Glaucoma Stage Unspecified H40.1210 H40.1220 H40.1230 H40.1290
Low Tension Glaucoma Mild H40.1211 H40.1221 H40.1231 H40.1291
Low Tension Glaucoma Moderate H40.1212 H40.1222 H40.1232 H40.1292
Low Tension Glaucoma Severe H40.1213 H40.1223 H40.1233 H40.1293
Low Tension Glaucoma Indeterminate H40.1214 H40.1224 H40.1234 H40.1294
365.13
Pigmentary Glaucoma (2ndary to POAG) OD OS OU Unspecified eye
Pigmentary Glaucoma Stage Unspecified H40.1310 H40.1320 H40.1330 H40.1390
Pigmentary Glaucoma Mild H40.1311 H40.1321 H40.1331 H40.1391
Pigmentary Glaucoma Moderage H40.1312 H40.1322 H40.1332 H40.1392
Pigmentary Glaucoma Severe H40.1313 H40.1323 H40.1333 H40.1393
Pigmentary Glaucoma Indeterminate H40.1314 H40.1324 H40.1334 H40.1394
RETURN TO INDEX PAGE GLAUCOMA & OPTIC NERVE CONTINUED………….
10
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 10
365.52
Capsular Glaucoma with Pseudoexfoliation OD OS OU Unspecified eye
Capsular Glaucoma w/Pseudoexfoliation Unspecified H40.1410 H40.1420 H40.1430 H40.1490
Capsular Glaucoma w/Pseudoexfoliation Mild H40.1411 H40.1421 H40.1431 H40.1491
Capsular Glaucoma w/Pseudoexfoliation Moderate H40.1412 H40.1422 H40.1432 H40.1492
Capsular Glaucoma w/Pseudoexfoliation Severe H40.1413 H40.1423 H40.1433 H40.1493
Capsular Glaucoma w/Pseudoexfoliation Indeterminate H40.1414 H40.1424 H40.1434 H40.1494
365.03 Steroid Responder H40.041 H40.042 H40.043 H40.049
365.21 Intermittent Angle Closure Glaucoma H40.231 H40.232 H40.233 H40.239
365.22 Acute Angle Closure Glaucoma H40.211 H40.212 H40.213 H40.219
365.23
Chronic Angle Closure Glaucoma OD OS OU Unspecified eye
Chronic Angle Closure Glaucoma stage Unspecified H40.2210 H40.2220 H40.2230 H40.2290
Chronic Angle Closure Glaucoma Mild H40.2211 H40.2221 H40.2231 H40.2291
Chronic Angle Closure Glaucoma Moderate H40.2212 H40.2222 H40.2232 H40.2292
Chronic Angle Closure Glaucoma Severe H40.2213 H40.2223 H40.2233 H40.2293
Chronic Angle Closure Glaucoma Indeterminate H40.2214 H40.2224 H40.2234 H40.2294
Optic Nerve
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
377.41 Ischemic Optic Neuropathy H47.011 H47.012 H47.013 H47.019
377.10 Optic Atrophy, Unspecified H47.20
Optic Atrophy, Primary H47.211 H47.212 H47.213 H47.219
Optic Atrophy, Hereditary H47.22
Optic Atrophy, Glaucomatous H47.231 H47.232 H47.233 H47.239
Optic Atrophy, Other H47.291 H47.292 H47.293 H47.299
377.21 Optic Disc Drusen H47.321 H47.322 H47.323 H47.329
377.30 Optic Neuritis H46.01 H46.02 H46.03 H46.00
377.00 Papilledema unspecified H47.10
Papilledema associated with retinal disorder (choked disc) H47.13
Foster-Kennedy syndrome H47.141 H47.142 H47.143 H47.149
377.31 Papillitis H46.01 H46.02 H46.03 H46.00
377.24 Pseudopapilledema H47.331 H47.332 H47.333 H47.339
RETURN TO INDEX PAGE
11
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 11
RETURN TO INDEX PAGE
Macular Degeneration ARMD
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
362.50 Unspecified Macular Degeneration H35.30
ARMD Non-Exudative Stg. Unspecified H35.3110 H35.3120 H35.3130 H35.3190
ARMD Non-Exudative Early Dry H35.3111 H35.3121 H35.3131 H35.3191
ARMD Non-Exudative Interm. Dry H35.3112 H35.3122 H35.3132 H35.3192
ARMD Non-Exudative Advanced W/O sub-foveal involvement H35.3113 H35.3123 H35.3133 H35.3193
ARMD Non-Exudative Advanced With sub-foveal involvement H35.3114 H35.3124 H35.3134 H35.3194
OD OS OU Unspecified eye
ARMD Exudative Stg. Unspecified H35.3210 H35.3220 H35.3230 H35.3290
ARMD Exudative With Active Choroidal Neovacularization H35.3211 H35.3221 H35.3231 H35.3291
ARMD Exudative With Inactive Choroidal Neovacularization H35.3212 H35.3222 H35.3232 H35.3292
ARMD Exudative with Inactive Scar H35.3213 H35.3223 H35.3233 H35.3293
Macula
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
362.53 Macular CME H35.351 H35.352 H35.353 H35.359
362.54 Macular Cyst, Hole or Pseudohole H35.341 H35.342 H35.343 H35.349
362.56 Puckering of macula H35.371 H35.372 H35.373 H35.379
Functional
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
367.32 Aniseikonia H52.32
367.51 Accommodative Paresis H52.521 H52.522 H52.523 H52.529
368.00 Amblyopia Unspecified H53.001 H53.002 H52.003 H53.009
Amblyopia Suspect H53.041 H53.042 H53.043 H53.049
368.13 Photophobia - Asthenopia - Visual discomfort H53.141 H53.142 H53.143 H53.149
368.2 Diplopia H53.2
368.33 Fusion Problems - Fusion w/defective Stereopsis H53.32
378.40 Hyperphoria - Vertical heterophoria H50.53
378.41 Esophoria H50.51
378.42 Exophoria H50.52
378.83 Convergence Insufficiency H51.11
378.83 Convergence Excess H51.12
379.50 Nystagmus - Unspecified H55.00
379.91 Eyepain - Ocular Pain H57.11 H57.12 H57.13 H57.10
12
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 12
RETURN TO INDEX PAGE
Systemic
ICD 9 Dx ICD 10 250.00 Diabetes Type II - without complications E11.9
250.01 Diabetes Type I - without complications E10.9
790.29 Pre-Diabetes R73.03
790.29 Pre-Diabetes - Other abnormal glucose R73.09
340 Multiple Sclerosis G35
358.0 Myasthenia Gravis w/o exacerbation G70.00
376.21 Exophthalmos Unspecified H05.20
382.39 Dermatitis of Skin Unspecified L30.9
435.9 TIA Unspecified G45.9
714.0 Rheumatoid Arthritis M06.9
716.9 Osteoarthritis - Unspecified M19.90
Strabismus
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
378.00
Esotropia Unspecified H50.00
Esotropia Monocular H50.011 H50.012
Esoptropia Alternating H50.05
378.10
Exotropia Unspecified H50.10
Exotropia monocular H50.111 H50.112
Exotropia Alternating H50.15
378.50 Other Paralytic strabismus H49.881 H49.882 H49.883 H49.889
378.51 Third Nerve Palsy H49.01 H49.02 H49.03 H49.00
378.53 Fourth Nerve Palsy H49.11 H49.12 H49.13 H49.10
378.54 Sixth Nerve Palsy H49.21 H49.22 H49.23 H49.20
Visual Field Defect
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
368.40 Visual Field Defect Unspecified H53.40
Central Scotoma H53.411 H53.412 H53.413 H53.419
Scotoma of blind spot H53.421 H53.422 H53.423 H53.429
Sector or arcuate defect H53.431 H53.432 H53.433 H53.439
Other localized defect H53.451 H53.452 H53.453 H53.459
Generalized contraction of visual field H53.481 H53.482 H53.483 H53.489
Right Side Left Side Unspecified side
Homonymous bilateral field defect H53.461 H53.462 H53.469
Heteronymous bilateral field defect H53.47
13
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 13
Blindness and Low Vision
Dx Categories Category 1: 20/70-20/200 Category 2: 20/200-20/400 Category 3: 20/400-20/1200 Category 4: 20/1200 to light perception only Category 5: NLP
BLINDNESS BOTH EYES Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5
~Blind OD Category 3 H54.0X33 H54.0X34 H54.0X35
~Blind OD Category 4 H54.0X43 H54.0X44 H54.0X45
~Blind OD Category 5 H54.0X53 H54.0X54 H54.0X55
BLIND OD & LOW VISION OS Lw Visn OS Catgy 1 Lw Visn OS Catgy 2
~Blind OD Category 3 H54.1131 H54.1132
~Blind OD Category 4 H54.1141 H54.1142
~Blind OD Category 5 H54.1151 H54.1152
BLIND OS & LOW VISION OD Lw Visn OD Catgy 1 Lw Visn OD Catgy 2
~Blind OS Category 3 H54.1213 H54.1223
~Blind OS Category 4 H54.1214 H54.1224
~Blind OS Category 5 H54.1215 H54.1225
LOW VISION BOTH EYES Lw Visn OS Catgy 1 Lw Visn OS Catgy 2
~Low Vision OD Category 1 H54.2X11 H54.2X12
~Low Vision OD Category 2 H54.2X21 H54.2X22
NORMAL VISION IN ONE EYE AND LOW VISION IN THIS EYE Lw Visn OD Catgy 1 Lw Visn OD Catgy 2 Lw Visn OS Catgy 1 Lw Visn OS Catgy 1
~Normal vision in one eye & low vision in other eye H54.511A H54.512A H54.52A H54.52A2
NORMAL VISION IN ONE EYE AND BLIND IN THIS EYE Blind OD Catgy 3 Blind OD Catgy 4 Blind OD Catgy 5 Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5
~Normal vision in one eye & blind in other eye H54.413A H54.414A H54.415A H54.42A3 H54.42A4 H54.42A5
Other
ICD 9 Dx ICD 10 OD OS OU Unspecified eye
V58.69 Long term (current use) of drug therapy - other Z79.899
362.34 Amaurosis Fugax G45.3
368.51 Color Deficiency - Unspecified Hereditary Retinal Dystrophy H53.50
784.0 Headache R51
346.00 Migraine w/ Aura, Not retractable, w/o status migrainosus G43.109
Migraine w/o Aura, Not retractable, w/o status migrainosus G43.009
368.15 Photophobia - Visual Discomfort H53.141 H53.142 H53.143 H53.149
270.2 Albinism Unspecified E70.30
Ocular Albinism Unspecified E70.319
351.8 Facial Myokymia G51.4
921.3 Berlin's Disease - Other injuries of eye and orbit S05.8X1 S05.8X2 S05.8X9
368.9 Visual Disturbance Unspecified H53.9
RETURN TO INDEX PAGE
14
2019 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 14
Instructions on downloading the 2019 ICD-10 CM Index and the 2019 ICD-10 CM Tabular List
1. Go to the CMS 2019 ICD-10 CM and GEMS web page (screenshot
at right).
2. Click on the download “2019 Code Tables and Index [ZIP 18MB]”
3. All of the files in the red box will be downloaded to your
computer. You are only interested in the two large pdf files circled
in red.
4. Save those two files to a special folder on your computer.
5. When you want to find a particular diagnosis term or code, go to
the folder containing those files and:
A. Open the icd10cm_index_2019.pdf file.
B. Use CNTL-F to search for the diagnosis term in question.
C. Once your term is found in the index, note or copy its
corresponding ICD-10 root (non-billable) diagnosis code.
D. Now open the icd10cm_tabular_2019.pdf file.
E. Use CNTL-F to search for the root diagnosis code you just
copied from the index file.
F. Most likely your tabular list search will reveal a number of
billable diagnosis codes from which to chose. Of the codes found,
always chose the most specific code appropriate for the patient’s
condition. Specificity is important.
On occasion the code you are seeking may not be available in
the previous 12 pages. CMS has made the thousands of pages
of the ICD-10 CM index and tablular list available for
download. Simply follow the directions below, and then use
the CNTRL-F function to search the index and tabular list for
the diagnosis or code of interest.
RETURN TO INDEX PAGE
Check the downloads on your computer, and you should find a folder with the following list of files: