ICD-10 Coding for Hemianopsia(H53.461, H53.462, H53.469)
Complete ICD-10-CM coding and documentation guide for Hemianopsia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemianopsia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H53.461 | Homonymous bilateral field defects, right side | Use when documentation specifies right-sided homonymous hemianopsia. |
|
| H53.462 | Homonymous bilateral field defects, left side | Use when documentation specifies left-sided homonymous hemianopsia. |
|
| H53.469 | Unspecified homonymous bilateral field defects | Use when laterality is not documented and 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 hemianopsia
Essential facts and insights about Hemianopsia
Primary ICD-10-CM Codes for hemianopsia
Decision Criteria
clinical Criteria
- Right-sided visual field defect confirmed by perimetry
coding Criteria
- Underlying cause such as stroke must be coded first
Applicable To
- Right homonymous hemianopsia
Excludes
- Bitemporal hemianopsia (H53.482)
Clinical Validation Requirements
- Goldmann perimetry confirming right-sided defect
- MRI showing lesion in left occipital lobe
Code-Specific Risks
- Incorrect laterality documentation
- Missing underlying cause
Coding Notes
- Ensure laterality is documented; query provider if unclear.
H53.462 - Homonymous bilateral field defects, left side
Use when documentation specifies left-sided homonymous hemianopsia.
Applicable To
- Left homonymous hemianopsia
Excludes
- Bitemporal hemianopsia (H53.482)
Clinical Validation Requirements
- Goldmann perimetry confirming left-sided defect
- MRI showing lesion in right occipital lobe
Coding Notes
Ensure laterality is documented; query provider if unclear.
H53.469 - Unspecified homonymous bilateral field defects
Use when laterality is not documented and cannot be determined.
Applicable To
- Unspecified homonymous hemianopsia
Excludes
- Bitemporal hemianopsia (H53.482)
Clinical Validation Requirements
- Perimetry results not specifying laterality
- Documentation lacking specific side
Coding Notes
Query provider for laterality; use only if unresolved.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sequelae of cerebral infarction with right hemiplegia
I69.351Sequelae of cerebral infarction with left hemiplegia
I69.352Sequelae of cerebral infarction with unspecified hemiplegia
I69.359Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Bitemporal hemianopsia
H53.482Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hemianopsia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H53.461.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terms like 'right homonymous hemianopsia', Include test results
Impact
Reimbursement: Potential denial due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Query provider for clarification; use H53.469 only if unresolved.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Violation of sequencing rules., Data Quality: Incomplete clinical picture.
Mitigation Strategy
Always code the underlying condition, such as stroke, first.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement mandatory laterality documentation protocols.
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 Hemianopsia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemianopsia
Use these documentation templates to ensure complete and accurate documentation for Hemianopsia. These templates include all required elements for proper coding and billing.
Post-stroke hemianopsia
Specialty: NeurologyRequired Elements
- Visual field testing results
- Stroke etiology
- Functional impact on daily activities
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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