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Home/Diagnosis/ICD-10 Coding for Macular Dystrophy

ICD-10 Coding for Macular Dystrophy

H35.52

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

Also Known as:
Pigmentary Retinal Dystrophy
Butterfly-shaped Macular Dystrophy
Stargardt Disease
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Key Information: ICD-10 Coding for Macular Dystrophy

Essential facts and insights about ICD-10 Coding for Macular Dystrophy

Use ICD-10 code H35.52 for pigmentary retinal dystrophy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pigmentary retinal dystrophy

Billable Code
H35.52
Billable

Diagnostic Criteria

clinical:
  • • Genetic confirmation of dystrophy
documentation:
  • • Detailed retinal imaging findings

Applicable To

  • • Retinitis pigmentosa
  • • Butterfly-shaped macular dystrophy

Important Notes

  • • Ensure genetic confirmation and specific documentation of retinal changes.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z84.89

Family history of other specified conditions

Use when documenting a hereditary pattern in the family history.

92134

OCT imaging (posterior segment retina)

Use to support the diagnosis with imaging evidence.

Frequently Asked Questions

What is the ICD-10 code for macular dystrophy?

The ICD-10 code for macular dystrophy is primarily H35.52, which covers pigmentary retinal dystrophy including conditions like retinitis pigmentosa.

How is macular dystrophy diagnosed?

Macular dystrophy is diagnosed through genetic testing, OCT imaging, and clinical evaluation of symptoms like central vision loss.

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