ICD-10 Coding for Error of Vision(H52.0, H52.1, H52.7)
Complete ICD-10-CM coding and documentation guide for Error of Vision. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Error of Vision
H52.0-H52.7Primary Range
Disorders of refraction and accommodation
Covers all refractive errors including myopia, hyperopia, astigmatism, and presbyopia.
Blindness and low vision
Used for coding visual impairment levels, often secondary to refractive errors.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H52.0 | Myopia | Use when myopia is confirmed by clinical examination and refraction tests. |
|
| H52.1 | Hypermetropia | Use when hypermetropia is confirmed by clinical examination and refraction tests. |
|
| H52.7 | Disorder of refraction, unspecified | Use only when specific refractive error cannot be determined. |
|
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 myopia
Essential facts and insights about Error of Vision
Primary ICD-10-CM Codes for error of vision
Decision Criteria
clinical Criteria
- Patient presents with difficulty seeing distant objects clearly.
Applicable To
- Nearsightedness
Excludes
- Hypermetropia (H52.1)
Clinical Validation Requirements
- Presenting visual acuity
- Autorefraction or retinoscopy results
Code-Specific Risks
- Incorrect documentation of visual acuity
Coding Notes
- Ensure documentation specifies the degree of myopia and corrective measures.
H52.1 - Hypermetropia
Use when hypermetropia is confirmed by clinical examination and refraction tests.
Applicable To
- Farsightedness
Excludes
- Myopia (H52.0)
Clinical Validation Requirements
- Positive diopter measurements
- Symptoms of difficulty focusing on near objects
Coding Notes
Document the degree of hypermetropia and any corrective lenses prescribed.
H52.7 - Disorder of refraction, unspecified
Use only when specific refractive error cannot be determined.
Excludes
- Specific refractive errors (H52.0-H52.6)
Clinical Validation Requirements
- General symptoms of vision impairment without specific refraction test results
Coding Notes
Avoid using this code when specific refractive errors can be identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Error of Vision to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H52.0.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Increases risk of audit issues., Financial: Potential for denied claims.
Mitigation Strategy
Ensure all refraction tests are documented., Use specific ICD-10 codes for diagnosed conditions.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Decreases specificity and accuracy of health records.
Mitigation Strategy
Use specific codes like H52.0 for myopia or H52.1 for hypermetropia when possible.
Impact
Using unspecified codes when specific diagnosis is available.
Mitigation Strategy
Ensure thorough documentation of refraction tests and use specific codes.
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 Error of Vision, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Error of Vision
Use these documentation templates to ensure complete and accurate documentation for Error of Vision. These templates include all required elements for proper coding and billing.
Routine Eye Exam
Specialty: OptometryRequired Elements
- Visual acuity
- Refraction test results
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Error of Vision? Ask your questions below.