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Home/Diagnosis/ICD-10 Coding for Age-Related Macular Degeneration

ICD-10 Coding for Age-Related Macular Degeneration

H35.31x1
H35.31x3
H35.32x2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for age-related macular degeneration includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
AMD
Macular Degeneration
ARMD
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Key Information: ICD-10 Coding for Age-Related Macular Degeneration

Essential facts and insights about ICD-10 Coding for Age-Related Macular Degeneration

Use ICD-10 code H35.31x1 for early dry age-related macular degeneration, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Early dry age-related macular degeneration

Non-Billable
H35.31x1
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of small drusen without pigment changes

Applicable To

  • • Early stage dry AMD with small drusen

Important Notes

  • • Ensure documentation specifies drusen size and absence of pigment abnormalities.

Advanced dry AMD with geographic atrophy

Non-Billable
H35.31x3
Non-Billable

Applicable To

  • • Advanced stage dry AMD with geographic atrophy involving foveal center

Important Notes

  • • Document geographic atrophy and foveal involvement explicitly.

Wet AMD left eye

Non-Billable
H35.32x2
Non-Billable

Applicable To

  • • Wet AMD with subretinal hemorrhage or fluid

Important Notes

  • • Ensure documentation includes OCT and angiography findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z00.00

Encounter for general adult medical examination without abnormal findings

Use when AMD is asymptomatic and found during routine examination.

H54.7

Visual impairment

Use if AMD affects functional status.

Z51.11

Encounter for antineoplastic chemotherapy

Use if anti-VEGF treatment is administered.

Frequently Asked Questions

What is the ICD-10 code for age-related macular degeneration?

The ICD-10 codes for age-related macular degeneration include H35.31 for dry AMD and H35.32 for wet AMD, with additional characters for laterality and staging.

How is dry AMD documented for ICD-10 coding?

Dry AMD documentation should include drusen size and geographic atrophy involvement, specifying if the foveal center is affected.

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