ICD-10 Coding for Degenerative Myopia(H44.2-)
Complete ICD-10-CM coding and documentation guide for Degenerative Myopia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Degenerative Myopia
H44.2Primary Range
Degenerative myopia
This range includes codes for degenerative myopia with various complications and laterality.
Key Information: ICD-10 code for degenerative myopia
Essential facts and insights about Degenerative Myopia
Primary ICD-10-CM Code for degenerative myopia
Decision Criteria
clinical Criteria
- Axial length greater than 26.5mm with retinal changes
documentation Criteria
- Specific laterality and associated complications documented
Applicable To
- Degenerative myopia with complications such as choroidal neovascularization, macular hole, or retinal detachment
Excludes
- Simple myopia (H52.1)
Clinical Validation Requirements
- Axial length >26.5mm
- Presence of retinal pathology such as posterior staphyloma or lacquer cracks
Code-Specific Risks
- Risk of unspecified laterality leading to claim denials
Coding Notes
- Ensure documentation includes axial length and specific retinal changes to support the use of H44.2- codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Blindness
H54.0-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Degenerative Myopia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H44.2-.
Impact
Clinical: Inaccurate representation of the patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure thorough documentation of all findings and complications.
Impact
Reimbursement: Claims may be denied or delayed due to lack of specificity., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Reduces the accuracy of health records.
Mitigation Strategy
Always document and code the specific eye affected (right, left, or bilateral).
Impact
Coding without specifying the affected eye(s) can lead to audit flags.
Mitigation Strategy
Always document and code the specific 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 Degenerative Myopia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Degenerative Myopia
Use these documentation templates to ensure complete and accurate documentation for Degenerative Myopia. These templates include all required elements for proper coding and billing.
Documenting degenerative myopia with complications
Specialty: OphthalmologyRequired Elements
- Chief complaint
- History of present illness
- Detailed eye examination
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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