ICD Guidelines Ch. 7 Diseases of the Eye & Ear

Question 1

When coding Glaucoma assign the appropriate

Answer 1

Eye & Stage

Question 2

When the Type & Stage are the Same code 1 for both

Answer 2

Bilateral Glaucoma

Question 3

Assign as many codes from Category H40 for Glaucoma to identify the Type of Glaucoma, the affected eye, & the stage

Answer 3

Assigning Glaucoma codes

Question 4

Use 2 codes for each Eye, & assign the appropriate stage at the 7th character

Answer 4

Bilateral Glaucoma w/ DIFFERENT Type, & Stage

Question 5

Pt. admitted w/ Glaucoma & Stage evolves during the admission

Answer 5

Assign the HIGHEST Stage

Question 6

Clinical documentation must indicate the Stage is unable to be determined, then assign the 7th character as “4”.

Answer 6

Indeterminate Stage Glaucoma

Question 7

Blindness

Answer 7

H54.3

Question 8

If documented as Blindness or Low Vision in one eye, & the visual impairment category IS NOT documented use

Answer 8

H.54.6- Unqualified Visual Loss, One Eye

Question 9

A condition of increased pressure within the eyeball, causing gradual loss of sight

Answer 9

Glaucoma

Question 10

A disease of the eye in which the pressure of fluid inside the eyeball is abnormally high, caused by an obstructed outflow of the fluid.

Answer 10

H40.11x1- Open-Angle Glaucoma

Question 11

Increased pressure can lead to damage the optic nerve, and lead to partial or complete blindness

Answer 11

Open Angle Glaucoma- H40.11x1

Question 12

Is least common, but can cause a sudden buildup of pressure in the eye.

Answer 12

Angle-Closure Glaucoma

Question 13

The angle between the iris & corneas may be too narrow

Answer 13

Chronic or Acute Glaucoma