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Home/Diagnosis/ICD-10 Coding for Glaucoma Suspect

ICD-10 Coding for Glaucoma Suspect

H40.011
H40.021

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

Also Known as:
Ocular Hypertension
Pre-glaucoma
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Key Information: ICD-10 Coding for Glaucoma Suspect

Essential facts and insights about ICD-10 Coding for Glaucoma Suspect

Use ICD-10 code H40.011 for open-angle glaucoma suspect, low risk, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Open-angle glaucoma suspect, low risk, right eye

Billable Code
H40.011
Billable

Diagnostic Criteria

clinical:
  • • Open angles confirmed by gonioscopy
documentation:
  • • Document ≤2 risk factors

Applicable To

  • • Low-risk open-angle glaucoma suspect with ≤2 risk factors

Important Notes

  • • Ensure risk factors are clearly documented to support low-risk classification.

Open-angle glaucoma suspect, high risk, right eye

Billable Code
H40.021
Billable

Diagnostic Criteria

clinical:
  • • Open angles on gonioscopy
documentation:
  • • ≥3 risk factors documented

Applicable To

  • • High-risk open-angle glaucoma suspect with ≥3 risk factors

Important Notes

  • • Ensure risk factors are clearly documented to support high-risk classification.
Ancillary Codes

Additional codes that may be used with this diagnosis

92083

Visual field examination

Use to document visual field testing results.

92133

OCT of the optic nerve

Use to document optic nerve imaging results.

Frequently Asked Questions

What is the ICD-10 code for glaucoma suspect?

The ICD-10 code for glaucoma suspect varies based on risk factors and laterality, such as H40.011 for low-risk open-angle suspect in the right eye.

How do you document glaucoma suspect?

Document glaucoma suspect by specifying angle status, risk factors, IOP levels, and optic nerve findings to ensure accurate coding.

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