Legacy Education ICD-10-CM Guideline Review: Chapter 7 - Diseases of the Eye and the Adnexa

Introduction

• Presenter: Tiffany Roach, Coding Coach
• Focus: ICD-10-CM Guidelines for Chapter 7
  • Categories: H00 - H59
  • Fiscal Years: 2024 & 2025 (No changes)

Key Guideline Points

Glaucoma Coding

• Assign multiple codes from category H40 to identify:
  • Type of glaucoma
  • Affected eye
  • Glaucoma stage
• Bilateral Glaucoma:
  • Same type & stage:
    • Use bilateral code if available, with the seventh character for stage.
    • If not available, report one code for type with appropriate seventh character for stage.
  • Different stage or type for each eye:
    • Assign appropriate code for each eye.
    • If laterality not available, use one code per type with seventh character.
• Progression during admission:
  • Code the highest stage documented.
• Undetermined stage:
  • Use seventh character 4.
  • Do not confuse with unspecified codes.

Blindness and Low Vision Coding

• Both eyes, no visual impairment category:
  • Use code H54.3.
• One eye, no visual impairment category:
  • Use subcategory H54.6 based on laterality.
• No specification of laterality:
  • Use code H54.7.

Conclusion

• Thank you for supporting the guideline review series.
• Stay updated by subscribing to the channel for new videos.