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Home/Diagnosis/ICD-10 Coding for Epiretinal Membrane

ICD-10 Coding for Epiretinal Membrane

H35.379
H35.371

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

Also Known as:
Macular Pucker
Cellophane Maculopathy
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Key Information: ICD-10 Coding for Epiretinal Membrane

Essential facts and insights about ICD-10 Coding for Epiretinal Membrane

Use ICD-10 code H35.379 for puckering of macula, unspecified eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Puckering of macula, unspecified eye

Billable Code
H35.379
Billable

Diagnostic Criteria

clinical:
  • • Presence of hyperreflective membrane on OCT
documentation:
  • • Lack of specified laterality

Applicable To

  • • Epiretinal membrane

Important Notes

  • • Ensure documentation specifies OCT findings and visual symptoms.

Puckering of macula, right eye

Billable Code
H35.371
Billable

Applicable To

  • • Epiretinal membrane, right eye

Important Notes

  • • Ensure documentation specifies laterality and OCT findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

92134

OCT imaging

Use to document OCT findings supporting ERM diagnosis.

Frequently Asked Questions

What is the ICD-10 code for epiretinal membrane?

The ICD-10 code for epiretinal membrane is H35.379 for unspecified eye, with specific codes H35.371 and H35.372 for right and left eyes, respectively.

How is epiretinal membrane diagnosed?

Epiretinal membrane is diagnosed using OCT imaging, which shows a hyperreflective membrane on the retina, often accompanied by visual symptoms like metamorphopsia.

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