ICD-10 Coding for Diplopia(H53.2)
Complete ICD-10-CM coding and documentation guide for Diplopia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diplopia
H53.2Primary Range
Disorders of binocular vision
Primary code for diplopia, used when diplopia is the main symptom without a specified underlying cause.
Paralytic strabismus and other strabismus
Used for underlying causes of diplopia such as nerve palsies and mechanical strabismus.
Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
Used when diplopia is due to thyroid eye disease.
Key Information: ICD-10 code for diplopia
Essential facts and insights about Diplopia
Primary ICD-10-CM Code for diplopia
Decision Criteria
clinical Criteria
- Presence of binocular diplopia resolving with occlusion of either eye
documentation Criteria
- Detailed documentation of eye alignment tests
Applicable To
- Double vision
Excludes
- Monocular diplopia (H53.49)
Clinical Validation Requirements
- Documentation of binocular or monocular diplopia
- Prism diopter measurements
- Cover-uncover test results
Code-Specific Risks
- Incorrectly using as a primary code without underlying cause
- Missing documentation of prism measurements
Coding Notes
- Ensure to document the type of diplopia and any associated findings such as prism measurements.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diplopia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H53.2.
Impact
Clinical: Inadequate clinical documentation for diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure all eye alignment tests are documented with measurements.
Impact
Reimbursement: May result in denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient's condition.
Mitigation Strategy
Always pair H53.2 with a code for the underlying condition if known.
Impact
Failure to include underlying cause codes with H53.2.
Mitigation Strategy
Implement a checklist for coding diplopia with underlying conditions.
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 Diplopia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diplopia
Use these documentation templates to ensure complete and accurate documentation for Diplopia. These templates include all required elements for proper coding and billing.
Diplopia due to sixth nerve palsy
Specialty: NeurologyRequired Elements
- Chief complaint
- Eye alignment tests
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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