ICD-10 Coding for Aphakia(H27.00, H27.01, H27.02, H27.03)
Complete ICD-10-CM coding and documentation guide for Aphakia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aphakia
H27.0Primary Range
Aphakia
This range covers all specific codes for aphakia, including laterality and specific conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H27.00 | Aphakia, unspecified eye | Use when the specific eye affected is not documented or known. |
|
| H27.01 | Aphakia, right eye | Use when aphakia is confirmed in the right eye. |
|
| H27.02 | Aphakia, left eye | Use when aphakia is confirmed in the left eye. |
|
| H27.03 | Aphakia, bilateral | Use when aphakia is confirmed in 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 aphakia
Essential facts and insights about Aphakia
Primary ICD-10-CM Codes for aphakia
Decision Criteria
documentation Criteria
- Lack of specific eye documentation
Applicable To
- Acquired aphakia
Excludes
- Congenital aphakia (Q12.3)
Clinical Validation Requirements
- Absence of lens confirmed by slit lamp examination
- Patient history of lens extraction surgery
Code-Specific Risks
- Potential for claim denial due to lack of specificity
Coding Notes
- Ensure documentation specifies the affected eye to use a more specific code.
H27.01 - Aphakia, right eye
Use when aphakia is confirmed in the right eye.
Applicable To
- Acquired aphakia
Excludes
- Congenital aphakia (Q12.3)
Clinical Validation Requirements
- Absence of lens confirmed by slit lamp examination
- Patient history of lens extraction surgery
Coding Notes
Verify the laterality is documented correctly to avoid errors.
H27.02 - Aphakia, left eye
Use when aphakia is confirmed in the left eye.
Applicable To
- Acquired aphakia
Excludes
- Congenital aphakia (Q12.3)
Clinical Validation Requirements
- Absence of lens confirmed by slit lamp examination
- Patient history of lens extraction surgery
Coding Notes
Verify the laterality is documented correctly to avoid errors.
H27.03 - Aphakia, bilateral
Use when aphakia is confirmed in both eyes.
Applicable To
- Acquired aphakia
Excludes
- Congenital aphakia (Q12.3)
Clinical Validation Requirements
- Absence of lens confirmed by slit lamp examination
- Patient history of lens extraction surgery
Coding Notes
Ensure documentation supports bilateral involvement to avoid errors.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Congenital aphakia
Q12.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aphakia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H27.00.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always verify laterality during patient assessment, Include laterality in all relevant documentation
Impact
Reimbursement: Claims may be denied due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data collection and reporting.
Mitigation Strategy
Ensure documentation specifies the affected eye to use a more specific code.
Impact
Using non-specific codes like H27.00 can lead to audit flags.
Mitigation Strategy
Ensure documentation supports the use of 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 Aphakia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aphakia
Use these documentation templates to ensure complete and accurate documentation for Aphakia. These templates include all required elements for proper coding and billing.
Post-surgical aphakia documentation
Specialty: OphthalmologyRequired Elements
- Laterality
- Surgical history
- Visual acuity
- Correction method
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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