Complete ICD-10-CM coding and documentation guide for icd-10 coding for open-angle glaucoma, moderate stage includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Open-Angle Glaucoma, Moderate Stage
Use ICD-10 code H40.11X2 for unilateral primary open-angle glaucoma, moderate stage, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Routine eye exam
Use for routine screening visits.
Personal history of glaucoma
Use for monitoring visits.
Moderate stage open-angle glaucoma is coded as H40.11X2 for unilateral cases and H40.1132 for bilateral cases, depending on laterality and stage documentation.
Documentation must include optic nerve abnormalities, visual field test results, and specific staging details to ensure accurate coding.