ICD-10 Coding for Asteroid Hyalosis(H43.21, H43.22, H43.23)
Complete ICD-10-CM coding and documentation guide for Asteroid Hyalosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Asteroid Hyalosis
H43.2-Primary Range
Crystalline deposits in vitreous body
This range covers the primary codes for asteroid hyalosis, specifying laterality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H43.21 | Crystalline deposits in vitreous body, right eye | Use when asteroid hyalosis is confirmed in the right eye. |
|
| H43.22 | Crystalline deposits in vitreous body, left eye | Use when asteroid hyalosis is confirmed in the left eye. |
|
| H43.23 | Crystalline deposits in vitreous body, bilateral | Use when asteroid hyalosis 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 asteroid hyalosis
Essential facts and insights about Asteroid Hyalosis
Primary ICD-10-CM Codes for asteroid hyalosis
Decision Criteria
clinical Criteria
- Presence of crystalline deposits in the vitreous confirmed by imaging.
documentation Criteria
- Laterality must be specified in the medical record.
Applicable To
- Asteroid hyalosis, right eye
Clinical Validation Requirements
- Fundus exam showing multiple refractile spherical opacities in the vitreous
- Imaging confirmation via ultrasound or OCT
Code-Specific Risks
- Ensure laterality is documented to avoid miscoding.
Coding Notes
- Ensure documentation specifies laterality and confirms diagnosis with imaging.
H43.22 - Crystalline deposits in vitreous body, left eye
Use when asteroid hyalosis is confirmed in the left eye.
Applicable To
- Asteroid hyalosis, left eye
Excludes
- Vitreous hemorrhage (H43.1-)
- Endophthalmitis (H44.1-)
Clinical Validation Requirements
- Fundus exam showing multiple refractile spherical opacities in the vitreous
- Imaging confirmation via ultrasound or OCT
Coding Notes
Ensure documentation specifies laterality and confirms diagnosis with imaging.
H43.23 - Crystalline deposits in vitreous body, bilateral
Use when asteroid hyalosis is confirmed in both eyes.
Applicable To
- Asteroid hyalosis, bilateral
Excludes
- Vitreous hemorrhage (H43.1-)
- Endophthalmitis (H44.1-)
Clinical Validation Requirements
- Fundus exam showing multiple refractile spherical opacities in the vitreous
- Imaging confirmation via ultrasound or OCT
Coding Notes
Ensure documentation specifies laterality and confirms diagnosis with imaging.
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.
Vitreous hemorrhage
H43.1-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Asteroid Hyalosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H43.21.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always include laterality in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to claim denials or reduced reimbursement., Compliance: Failure to comply with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always document and code the specific eye affected (right, left, bilateral).
Impact
Missing laterality can lead to audit flags.
Mitigation Strategy
Ensure all documentation includes laterality.
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 Asteroid Hyalosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Asteroid Hyalosis
Use these documentation templates to ensure complete and accurate documentation for Asteroid Hyalosis. These templates include all required elements for proper coding and billing.
Routine Ophthalmology Exam
Specialty: OphthalmologyRequired Elements
- Laterality
- Imaging confirmation
- Patient symptoms
- Stability of condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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