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Home/Diagnosis/ICD-10 Coding for Ocular Hypertension

ICD-10 Coding for Ocular Hypertension

H40.051
H40.052
H40.053

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

Also Known as:
Elevated Intraocular Pressure
Ocular HTN
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Key Information: ICD-10 Coding for Ocular Hypertension

Essential facts and insights about ICD-10 Coding for Ocular Hypertension

Use ICD-10 code H40.051 for ocular hypertension, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Ocular hypertension, right eye

Billable Code
H40.051
Billable

Diagnostic Criteria

clinical:
  • • IOP >21 mmHg in the right eye with normal optic nerve
documentation:
  • • Document laterality and IOP measurements

Applicable To

  • • Elevated intraocular pressure in the right eye without glaucomatous damage

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Ocular hypertension, left eye

Billable Code
H40.052
Billable

Diagnostic Criteria

clinical:
  • • IOP >21 mmHg in the left eye with normal optic nerve
documentation:
  • • Document laterality and IOP measurements

Applicable To

  • • Elevated intraocular pressure in the left eye without glaucomatous damage

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Ocular hypertension, bilateral

Billable Code
H40.053
Billable

Diagnostic Criteria

clinical:
  • • IOP >21 mmHg in both eyes with normal optic nerve
documentation:
  • • Document laterality and IOP measurements

Applicable To

  • • Elevated intraocular pressure in both eyes without glaucomatous damage

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Ocular hypertension, unspecified eye

Billable Code
H40.059
Billable

Diagnostic Criteria

clinical:
  • • IOP >21 mmHg without specification of laterality
documentation:
  • • Document laterality and IOP measurements

Applicable To

  • • Elevated intraocular pressure without specification of laterality

Important Notes

  • • Specify laterality to avoid using unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

I10

Essential (primary) hypertension

Use if the patient also has systemic hypertension.

Frequently Asked Questions

What is the ICD-10 code for ocular hypertension?

The ICD-10 code for ocular hypertension is H40.05, with specific codes for laterality: H40.051 for the right eye, H40.052 for the left eye, and H40.053 for bilateral.

How is ocular hypertension documented?

Document ocular hypertension by recording IOP measurements, specifying laterality, and confirming no optic nerve damage or visual field loss.

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