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Home/Diagnosis/ICD-10 Coding for Amblyopia

ICD-10 Coding for Amblyopia

H53.00
H53.01

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

Also Known as:
Lazy Eye
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Key Information: ICD-10 Coding for Amblyopia

Essential facts and insights about ICD-10 Coding for Amblyopia

Use ICD-10 code H53.00 for unspecified amblyopia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified amblyopia

Non-Billable
H53.00
Non-Billable

Diagnostic Criteria

  • • Visual acuity difference of ≥2 lines between eyes

Applicable To

  • • Lazy eye NOS

Important Notes

  • • Avoid using unspecified codes when specific types are documented.

Deprivation amblyopia

Non-Billable
H53.01
Non-Billable

Diagnostic Criteria

  • • Presence of media opacity ≥1mm

Applicable To

  • • Amblyopia due to media opacity

Important Notes

  • • Ensure the underlying cause is documented and coded.
Ancillary Codes

Additional codes that may be used with this diagnosis

H52.0

Hypermetropia

Use when hypermetropia is a contributing factor.

H26.0

Congenital cataract

Use when cataract is the underlying cause.

Frequently Asked Questions

What is the ICD-10 code for amblyopia?

The ICD-10 code for unspecified amblyopia is H53.00, but specific types like deprivation or refractive amblyopia have their own codes.

How do you code bilateral amblyopia?

For bilateral amblyopia, use the specific type code for both eyes, ensuring documentation supports the diagnosis.

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