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ICD-10 Coding for Hypertropia(H50.2)

Complete ICD-10-CM coding and documentation guide for Hypertropia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Vertical StrabismusUpward Eye Deviation

Related ICD-10 Code Ranges

Complete code families applicable to Hypertropia

H50.2-H50.6Primary Range

Strabismus and other disorders of binocular movement

This range includes specific codes for hypertropia and related strabismus conditions.

Key Information: ICD-10 code for hypertropia

Essential facts and insights about Hypertropia

The ICD-10 code for hypertropia is H50.2, used for vertical misalignment with documented laterality.

Primary ICD-10-CM Code for hypertropia

Hypertropia
Non-billable Code

Decision Criteria

clinical Criteria

  • Documented vertical deviation and laterality

coding Criteria

  • Avoid unspecified codes for precise conditions

Applicable To

  • Vertical strabismus

Excludes

  • Paralytic strabismus (H50.5)
  • Restrictive strabismus (H50.6)

Clinical Validation Requirements

  • Prism diopter measurement
  • Laterality specification
  • Comitancy assessment

Code-Specific Risks

  • Using unspecified codes like H50.9
  • Not documenting laterality

Coding Notes

  • Ensure to document the angle of deviation and laterality.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm

E05.00
Use when hypertropia is secondary to thyroid eye disease.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Paralytic strabismus

H50.5
Presence of superior oblique palsy confirmed by clinical tests.

Restrictive strabismus

H50.6
Associated with thyroid eye disease or trauma, confirmed by imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hypertropia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H50.2.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Always include laterality in documentation.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Always specify laterality and measure deviation.

Impact

Using unspecified codes can trigger audits.

Mitigation Strategy

Ensure documentation supports specific code selection.

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 Hypertropia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hypertropia

Use these documentation templates to ensure complete and accurate documentation for Hypertropia. These templates include all required elements for proper coding and billing.

Hypertropia evaluation

Specialty: Ophthalmology

Required Elements

  • Ocular motility
  • Deviation measurement
  • Laterality
  • Etiology

Example Documentation

12Δ right hypertropia in primary gaze measured via prism cover test, comitant deviation, negative forced ductions.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Vertical eye misalignment
Good Documentation Example
12Δ right hypertropia in primary gaze measured via prism cover test.
Explanation
The good example provides specific measurements and laterality, which are essential for accurate coding.

Need help with ICD-10 coding for Hypertropia? Ask your questions below.

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