Eye & Adnexa

Question 2

Pressure measurement in ambbulatory care

Answer 2

2.CZ.28.^^

Question 3

Pressure measurement in ambbulatory care

Answer 3

2.CZ.28.^^

Question 4

Cataracts

Question 5

Age related cataracts

Answer 5

H25.1

Question 6

Traumatic Cataract

Answer 6

H26.1 ~ Traumatic Cataract

Question 7

Drug related cataract

Answer 7

H26.3 ~ Drug-induced Cataract
- + additional external cause code to identify the cause or drug

Question 8

Diabetic Cataract

Answer 8

H28.0* ~ Diabetic Cataract

Question 9

Lens Extraction

Question 10

Excision, total, lens

Answer 10

1.CL.89.^^

Question 11

Intracapsular Extraction

Question 12

Extracapsular extraction

Question 13

Phacoemulsification

Answer 13

1.CL.89.VR.^^

Question 14

Phacoemulsification using Femtosecond Laser

Answer 14

1.CL.89.VO
- + will likely have to code additional intervention
- - 3.CZ.94.ZF ~ Imaging intervention NEC, eye NEC

Question 15

IIOL (Intraocular Lens)

Question 16

Pt has subsequent lens insertion in different episode of care than phacoemulsification <- confirm if true, specifically confirm what procedure

Answer 16

1.CL.53.^^ ~ Implantation of internal device, lens

Question 17

Artificia lens removed without replacement or replacement with a different type of lens then the removal

Answer 17

1.CL.55.^^ ~ Removal of device, lens

Question 18

After-Cataract? - same as secondary cataract
Treated with YAG laser Capsulotomy

Answer 18

H26.4
Treated with YAG laser Capsulotomy
- 1.CL.59.LA-AG - destruction lens using open approach and laser

Question 19

Retinal Disorders

Question 20

• Many result from diseases such as:
• • diabetes
    – sickle cell anemia
    – birth prematurity
    – arteriosclerosis
• • • use dagger/asterisk when these are the cause of retinal disorder
• Flourescein angiography
• • dx procedure to assess extent of disease

Question 21

Retinopathy

Question 22

Nonproliferative retinopathy

Answer 22

E1^.30 ~ DM with moderate nonproliferative retinopathy
H36.0* ~ diabetic retinopathy (Dx type 3 or 6)

Question 23

Preproliferative retinopathy

Answer 23

E1^.31 ~ DM with preproliferative retinopathy
H36.0* ~ diabetic retinopathy (Dx type 3 or 6)

Question 24

Macular pathology present

Answer 24

E1^.33 ~ DM with other retinopathy
H36.0* ~ diabetic retinopathy

Question 25

Treatment w/ anti-VEGF or focal laser treatment (grid photocoagulation)

Answer 25

1.CN.59.LA-AG ~ destruction retina, using laser 1.CM.35.HA-CC ~ pharmacotherapy vitreous

Question 26

Proliferative Retinopathy, w/o mention of retinal detachment or vitreous hemorrhage

Answer 26

E1^.32 ~ DM with proliferative retinopathy H36.0* ~ diabetic retinopathy

Question 27

Proliferative Retinopathy WITH retinal detachment of vitreous hemorrhage present

Answer 27

E1^.33 ~ DM with other retinopathy H36.0* ~ diabetic retinopathy - + code seperately instructions for - -Retinal detachment – H33.4 - - Vitreous hemorrhage – H43.1

Question 28

Treatment of above ^ (panretinal laser / vitrectomy)

Question 29

Arteriosclerotic Retinopathy

Answer 29

I70.8 ~ atherosclerosis other arteries H36.8* ~ other retinal disorders in disease classified elsewhere

Question 30

Hypertensive retinopathy

Answer 30

H35.0 ~ background retinopathy and retinal vascular changes Assign additional code for hypertension, mandatory 3/OP <- insert mandatory code for hypertension

Question 31

Retinal Detachment

Answer 31

H33.^ ~ retinal detachment and breaks

Question 32

Treatment for retinal detachement

Answer 32

Treatment – 1.CN.59.^^ ~ destruction retina - can be one of these (scar created): - - Cryosurgery – 1.CN.59.LA-AD - - Photocoagulation – 1.CN.59.LA-AG - - Electrodiathermy - 1.CN.59.LA-GX - - Multiple devices – 1.CN.59.LA-GY

Question 33

Pneumatic Retinopexy

Answer 33

1.CM.35.HA-V0 ~ Pharmacotherapy (local), vitreous, of air or gas using needle injection

Question 34

Scleral Buckling

Answer 34

1.CD.53.LA-KT ~ Implantation of internal device, sclera, of scleral buckle [explant] - Look up scleral buckling

Question 35

Posterior Vitrectomy (Pars Plana vitrectomy)

Answer 35

1.CM.89.^^

Question 36

Removal of silicone post posterior vitrectomy

Answer 36

Z48.8 ~ other specified surgical follow up care

Question 37

Anterior Vitrectomy

Answer 37

1.CJ.52.LL

Question 38

Membrane peeling

Answer 38

1.CN.72.LA ~ release retina

Question 39

ARMD, AMD, Macular Degeneration

Question 40

ARMD, AMD, Macular Degeneration

Answer 40

H35.3 ~ degeneration macula

Question 41

IMT (Implantable Miniature Telescope)

Answer 41

one of the following: - 1.CL.89.NP-LO - 1.CL.89.VR-LO - 1.CL.89.VO-LO

Question 42

Glaucoma (H40.^)

Question 43

Primary - open angle/ angle closure

Answer 43

H code

Question 44

Secondary

Answer 44

H code + additional code for underlying cause

Question 45

Congenital

Answer 45

Q15.0

Question 46

Treatment

Answer 46

-

Question 47

iridotomy/Partial Iridectomy

Answer 47

1.CH.87.LA-AG ~ excision partial iris, using laser

Question 48

Drainage anterior chamber

Answer 48

1.CJ.52.^^ ~drainage anterior chamber

Question 49

Scleral Drainage

Answer 49

1.CD.52.^^ ~ drainage sclera

Question 50

Destruction ciliary body

Answer 50

1.CG.59.^^ ~ destruction ciliary body (qualifier 2 identifies type of device used – laser or cryotherapy)

Question 51

Corneal Disorders

Question 52

Corneal Dystrophies

Answer 52

H18.5 ~ Hereditary corneal dystrophies

Question 53

Keratoconus

Answer 53

H18.6 ~ Keratoconus

Question 54

Corneal Collagen Cross-linking

Answer 54

Epithelium – on 1.CC.12.JA-DQ Epithelium – off 1.CC.87.LA-DQ

Question 55

Corneal Transplantation

Answer 55

1.CC.85.^^