ICD-10 Coding for Bornholm Eye Disease(H52.13, H53.5, Z74.01)
Complete ICD-10-CM coding and documentation guide for Bornholm Eye Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bornholm Eye Disease
H52-H54Primary Range
Disorders of refraction and accommodation; visual disturbances and blindness
This range includes codes for high myopia, color vision deficiency, and blindness, which are manifestations of Bornholm Eye Disease.
Problems related to care provider dependency
This range includes codes for bed confinement status, which may be relevant for patients with severe visual impairment due to Bornholm Eye Disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H52.13 | High myopia, bilateral | Use when high myopia is confirmed with genetic testing indicating X-linked inheritance. |
|
| H53.5 | Color vision deficiencies | Use when specific color vision deficiencies are documented. |
|
| Z74.01 | Bed confinement status | Use as a secondary code when bed confinement is related to severe visual impairment. |
|
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 Bornholm Eye Disease
Essential facts and insights about Bornholm Eye Disease
Primary ICD-10-CM Codes for bornholm eye disease bound
Decision Criteria
clinical Criteria
- Presence of high myopia with genetic confirmation
Applicable To
- Severe myopia
- X-linked congenital high myopia
Excludes
- Myopia NOS (H52.10)
Clinical Validation Requirements
- Cycloplegic refraction showing ≤-6.00D
- Axial length >26mm
- Genetic confirmation of OPN1LW/OPN1MW mutation
Code-Specific Risks
- Incorrect use without genetic confirmation
- Failure to document axial length
Coding Notes
- Ensure documentation specifies 'X-linked congenital high myopia' and includes genetic test results.
H53.5 - Color vision deficiencies
Use when specific color vision deficiencies are documented.
Applicable To
- Deuteranopia
- Protanopia
Excludes
- Color blindness NOS (H53.50)
Clinical Validation Requirements
- Farnsworth D-15 test results
- Ishihara plate errors ≥12/14
Coding Notes
Document specific type of color vision deficiency and test results.
Z74.01 - Bed confinement status
Use as a secondary code when bed confinement is related to severe visual impairment.
Clinical Validation Requirements
- Documentation of bed confinement due to visual impairment
Coding Notes
Ensure linkage to the primary condition causing bed confinement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bed confinement status
Z74.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bornholm Eye Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H52.13.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement due to lack of specificity.
Mitigation Strategy
Ensure genetic testing is performed and results are documented., Train staff on the importance of genetic documentation.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces data quality and accuracy in patient records.
Mitigation Strategy
Ensure documentation includes specific genetic and clinical details to use specific codes.
Impact
Using unspecified codes when specific genetic and clinical details are available.
Mitigation Strategy
Ensure documentation includes all available genetic and clinical details to support specific coding.
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 Bornholm Eye Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bornholm Eye Disease
Use these documentation templates to ensure complete and accurate documentation for Bornholm Eye Disease. These templates include all required elements for proper coding and billing.
Documenting Bornholm Eye Disease with bedbound status
Specialty: OphthalmologyRequired Elements
- Genetic confirmation
- Visual acuity measurements
- Color vision test results
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Bornholm Eye Disease? Ask your questions below.