ICD-10 Coding for Hypermetropia(H52.01, H52.02, H52.03, H52.00)
Complete ICD-10-CM coding and documentation guide for Hypermetropia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypermetropia
H52.0Primary Range
Hypermetropia
This range includes all codes related to hypermetropia, specifying laterality and bilaterality.
Encounter for examination of eyes and vision
Used for routine eye exams with refractive error confirmation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H52.01 | Hypermetropia, right eye | Use when hypermetropia is confirmed in the right eye only. |
|
| H52.02 | Hypermetropia, left eye | Use when hypermetropia is confirmed in the left eye only. |
|
| H52.03 | Hypermetropia, bilateral | Use when hypermetropia is confirmed in both eyes. |
|
| H52.00 | Hypermetropia, unspecified eye | Use when documentation does not specify which eye is affected. |
|
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 hypermetropia
Essential facts and insights about Hypermetropia
Primary ICD-10-CM Codes for hypermetropia
Decision Criteria
clinical Criteria
- Positive spherical equivalent in the right eye.
Applicable To
- Farsightedness, right eye
Excludes
- Astigmatism (H52.2-)
Clinical Validation Requirements
- Retinoscopy or autorefraction showing positive spherical equivalent in the right eye.
Code-Specific Risks
- Incorrectly coding bilateral hypermetropia as unilateral.
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
H52.02 - Hypermetropia, left eye
Use when hypermetropia is confirmed in the left eye only.
Applicable To
- Farsightedness, left eye
Excludes
- Astigmatism (H52.2-)
Clinical Validation Requirements
- Retinoscopy or autorefraction showing positive spherical equivalent in the left eye.
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H52.03 - Hypermetropia, bilateral
Use when hypermetropia is confirmed in both eyes.
Applicable To
- Farsightedness, both eyes
Excludes
- Astigmatism (H52.2-)
Clinical Validation Requirements
- Retinoscopy or autorefraction showing positive spherical equivalent in both eyes.
Coding Notes
Ensure bilaterality is documented to avoid unspecified coding.
H52.00 - Hypermetropia, unspecified eye
Use when documentation does not specify which eye is affected.
Applicable To
- Farsightedness, unspecified eye
Excludes
- Astigmatism (H52.2-)
Clinical Validation Requirements
- Retinoscopy or autorefraction showing positive spherical equivalent without specified laterality.
Coding Notes
Use only when laterality is not documented.
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.
Myopia
H52.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypermetropia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H52.01.
Impact
Clinical: Inadequate clinical validation of diagnosis., Regulatory: Potential non-compliance with coding standards., Financial: Risk of claim denials or audits.
Mitigation Strategy
Always document the diagnostic method used, such as retinoscopy., Include detailed examination findings in the patient record.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Ensure laterality is documented and use H52.01 or H52.02 as appropriate.
Impact
Failure to document laterality can lead to incorrect coding.
Mitigation Strategy
Implement a checklist for eye exams to ensure laterality is recorded.
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 Hypermetropia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypermetropia
Use these documentation templates to ensure complete and accurate documentation for Hypermetropia. These templates include all required elements for proper coding and billing.
Comprehensive Eye Exam
Specialty: OphthalmologyRequired Elements
- Chief complaint
- History of present illness
- Visual acuity
- Refraction results
- Slit-lamp examination
- Fundus examination
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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