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Home/Diagnosis/ICD-10 Coding for Geographic Atrophy

ICD-10 Coding for Geographic Atrophy

H35.31x3
H35.31x4

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

Also Known as:
GA
Advanced Dry AMD
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Key Information: ICD-10 Coding for Geographic Atrophy

Essential facts and insights about ICD-10 Coding for Geographic Atrophy

Use ICD-10 code H35.31x3 for dry amd, advanced atrophic without subfoveal involvement, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Dry AMD, advanced atrophic without subfoveal involvement

Non-Billable
H35.31x3
Non-Billable

Diagnostic Criteria

clinical:
  • • RPE atrophy not involving foveal center

Applicable To

  • • Geographic atrophy sparing the fovea

Important Notes

  • • Ensure documentation specifies absence of foveal involvement.

Dry AMD, advanced atrophic with subfoveal involvement

Non-Billable
H35.31x4
Non-Billable

Applicable To

  • • Geographic atrophy involving the fovea

Important Notes

  • • Document foveal involvement clearly to avoid misclassification.
Ancillary Codes

Additional codes that may be used with this diagnosis

H54.8

Legal blindness/low vision

Use if applicable to document visual impairment.

Z79.899

Long-term use of complement inhibitors

Use when patient is on treatment like pegcetacoplan.

Frequently Asked Questions

What is the ICD-10 code for geographic atrophy?

The ICD-10 code for geographic atrophy without foveal involvement is H35.31x3, and with foveal involvement is H35.31x4.

How to document geographic atrophy for coding?

Document geographic atrophy by specifying lesion size, laterality, and foveal involvement, supported by OCT/FAF imaging.

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