ICD-10 Coding for Farsightedness(H52.00, H52.01, H52.02, H52.03)
Complete ICD-10-CM coding and documentation guide for Farsightedness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Farsightedness
H52.0Primary Range
Hypermetropia
This range covers all forms of hyperopia, including unspecified, right eye, left eye, and bilateral.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H52.00 | Hypermetropia, unspecified eye | Use when the affected eye is not specified in the documentation. |
|
| H52.01 | Hypermetropia, right eye | Use when hyperopia affects the right eye. |
|
| H52.02 | Hypermetropia, left eye | Use when hyperopia affects the left eye. |
|
| H52.03 | Hypermetropia, bilateral | Use when hyperopia affects 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 hyperopia
Essential facts and insights about Farsightedness
Primary ICD-10-CM Codes for hyperopia
Decision Criteria
documentation Criteria
- Laterality is not documented
Clinical Validation Requirements
- Refractive error measurement
- Cycloplegic refraction
Code-Specific Risks
- Increased audit risk due to lack of specificity
Coding Notes
- Ensure laterality is documented to avoid using unspecified codes.
H52.01 - Hypermetropia, right eye
Use when hyperopia affects the right eye.
Applicable To
- Right eye hyperopia
Clinical Validation Requirements
- Refractive error measurement
- Cycloplegic refraction
Coding Notes
Verify laterality in clinical notes.
H52.02 - Hypermetropia, left eye
Use when hyperopia affects the left eye.
Applicable To
- Left eye hyperopia
Clinical Validation Requirements
- Refractive error measurement
- Cycloplegic refraction
Coding Notes
Verify laterality in clinical notes.
H52.03 - Hypermetropia, bilateral
Use when hyperopia affects both eyes.
Applicable To
- Bilateral hyperopia
Clinical Validation Requirements
- Refractive error measurement
- Cycloplegic refraction
Coding Notes
Ensure bilateral involvement is documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Myopia
H52.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Farsightedness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H52.00.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always include refractive error measurements in the exam note., Use templates to ensure completeness.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Document and code the specific eye affected by hyperopia.
Impact
Using unspecified codes when laterality is documented.
Mitigation Strategy
Ensure laterality is coded when documented.
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 Farsightedness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Farsightedness
Use these documentation templates to ensure complete and accurate documentation for Farsightedness. These templates include all required elements for proper coding and billing.
Routine Eye Exam with Hyperopia Diagnosis
Specialty: OphthalmologyRequired Elements
- Chief complaint
- Visual acuity
- Refractive error
- Diagnosis
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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