ICD-10 Coding for Chronic Open-Angle Glaucoma(H40.1111, H40.1133)
Complete ICD-10-CM coding and documentation guide for Chronic Open-Angle Glaucoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Open-Angle Glaucoma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H40.1111 | Primary open-angle glaucoma, right eye, mild stage | Use when documenting mild stage POAG in the right eye. |
|
| H40.1133 | Primary open-angle glaucoma, bilateral, severe stage | Use when documenting severe stage POAG affecting both eyes. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic open-angle glaucoma
Essential facts and insights about Chronic Open-Angle Glaucoma
Primary ICD-10-CM Codes for chronic open angle glaucoma
Decision Criteria
clinical Criteria
- Presence of optic nerve abnormalities and early visual field loss.
Applicable To
- Mild stage glaucoma in the right eye
Excludes
- Secondary glaucoma
Clinical Validation Requirements
- Optic nerve abnormalities
- Early visual field loss
Code-Specific Risks
- Incorrect stage documentation
Coding Notes
- Ensure laterality and stage are documented.
H40.1133 - Primary open-angle glaucoma, bilateral, severe stage
Use when documenting severe stage POAG affecting both eyes.
Applicable To
- Severe stage glaucoma in both eyes
Excludes
- Secondary glaucoma
Clinical Validation Requirements
- Bilateral hemifield defects
- Fixation-threatening loss
Coding Notes
Document severity and bilateral involvement.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Open-Angle Glaucoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H40.1111.
Impact
Clinical: Leads to incomplete patient records., Regulatory: Increases audit risk., Financial: Potential for denied claims.
Mitigation Strategy
Always verify laterality is documented before coding.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Compromises data accuracy and quality.
Mitigation Strategy
Always use the most specific code available based on documentation.
Impact
Using unspecified codes when specific details are available.
Mitigation Strategy
Educate providers on the importance of detailed documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Open-Angle Glaucoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Open-Angle Glaucoma
Use these documentation templates to ensure complete and accurate documentation for Chronic Open-Angle Glaucoma. These templates include all required elements for proper coding and billing.
Chronic Open-Angle Glaucoma Diagnosis
Specialty: OphthalmologyRequired Elements
- Type of glaucoma
- Laterality
- Stage
- IOP readings
- Optic disc findings
- Visual field results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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