ICD-10 Coding for Normal Tension Glaucoma(H40.1211)
Complete ICD-10-CM coding and documentation guide for Normal Tension Glaucoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Normal Tension Glaucoma
H40.12-Primary Range
Normal tension glaucoma with laterality and stage specification
This range includes codes for NTG with specifications for laterality and stage, crucial for accurate diagnosis and treatment documentation.
Key Information: ICD-10 code for normal tension glaucoma
Essential facts and insights about Normal Tension Glaucoma
Primary ICD-10-CM Code for normal tension glaucoma
Decision Criteria
clinical Criteria
- IOP consistently ≤21 mmHg with optic nerve changes
Applicable To
- Normal tension glaucoma, right eye, mild stage
Clinical Validation Requirements
- IOP measurements consistently ≤21 mmHg
- Open anterior chamber angle confirmed by gonioscopy
- Characteristic optic nerve changes
Code-Specific Risks
- Incorrect staging or laterality documentation
Coding Notes
- Ensure laterality and stage are documented accurately.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Visual field defect
H47.39Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Primary open-angle glaucoma
H40.11X-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Normal Tension Glaucoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H40.1211.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement due to incomplete documentation.
Mitigation Strategy
Ensure detailed optic nerve assessments are included in every visit note., Use standardized templates for documentation.
Impact
Reimbursement: Incorrect coding can affect HCC scores and reimbursement., Compliance: May lead to audit issues due to inaccurate documentation., Data Quality: Impacts the accuracy of patient records and data analytics.
Mitigation Strategy
Code each eye separately with the appropriate stage.
Impact
Inaccurate documentation of laterality and stage can lead to audit flags.
Mitigation Strategy
Implement double-check systems for documentation accuracy.
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 Normal Tension Glaucoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Normal Tension Glaucoma
Use these documentation templates to ensure complete and accurate documentation for Normal Tension Glaucoma. These templates include all required elements for proper coding and billing.
Ophthalmology Progress Note
Specialty: OphthalmologyRequired Elements
- IOP history
- Gonioscopy results
- Optic nerve assessment
- Visual field tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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