How do you code a history of posterior vitreous detachment?

Use code Z86.69 for documenting a history of posterior vitreous detachment, but not as a principal diagnosis.

How do you code a history of posterior vitreous detachment?

Use code Z86.69 for documenting a history of posterior vitreous detachment, but not as a principal diagnosis.

What are the symptoms of posterior vitreous detachment?

Symptoms of posterior vitreous detachment include flashes, floaters, and blurred vision, often confirmed by a dilated eye exam.

How do you code a history of posterior vitreous detachment?

Use code Z86.69 for documenting a history of posterior vitreous detachment, but not as a principal diagnosis.

What are the symptoms of posterior vitreous detachment?

Symptoms of posterior vitreous detachment include flashes, floaters, and blurred vision, often confirmed by a dilated eye exam.

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ICD-10 Coding for Posterior Vitreous Detachment(H43.811, H43.812, H43.813, H43.819, Z86.69)

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

Also known as:

PVDVitreous Detachment

Related ICD-10 Code Ranges

Complete code families applicable to Posterior Vitreous Detachment

H43.81xPrimary Range

Vitreous degeneration with specified eye

Primary code range for documenting posterior vitreous detachment with laterality.

Z86.69

Personal history of other diseases of the eye and adnexa

Used for documenting a history of PVD, not as a principal diagnosis.

H33.4-

Traction detachment of retina

Used when PVD leads to retinal detachment.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
H43.811	Vitreous degeneration, right eye	Use when PVD is confirmed in the right eye without complications.	Symptoms of flashes and floaters Dilated eye exam confirming PVD B-scan ultrasound showing posterior hyaloid detachment
H43.812	Vitreous degeneration, left eye	Use when PVD is confirmed in the left eye without complications.	Symptoms of flashes and floaters Dilated eye exam confirming PVD B-scan ultrasound showing posterior hyaloid detachment
H43.813	Vitreous degeneration, bilateral	Use when PVD is confirmed in both eyes without complications.	Symptoms of flashes and floaters Dilated eye exam confirming PVD in both eyes B-scan ultrasound showing posterior hyaloid detachment
H43.819	Vitreous degeneration, unspecified eye	Use when PVD is confirmed but laterality cannot be determined.	Symptoms of flashes and floaters Dilated eye exam confirming PVD B-scan ultrasound showing posterior hyaloid detachment
Z86.69	Personal history of other diseases of the eye and adnexa	Use for documenting a history of PVD, not as a principal diagnosis.	Documentation of resolved PVD

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 posterior vitreous detachment

Essential facts and insights about Posterior Vitreous Detachment

The ICD-10 code for posterior vitreous detachment is H43.81x, with specific codes for laterality: H43.811 for right eye, H43.812 for left eye, and H43.813 for bilateral.

Primary ICD-10-CM Codes for posterior vitreous detachment

H43.811

Vitreous degeneration, right eye

Billable Code

Decision Criteria

clinical Criteria

Presence of symptoms like flashes and floaters with confirmed PVD in the right eye.

Applicable To

Posterior vitreous detachment, right eye

Excludes

Retinal detachment (H33.4-)

Clinical Validation Requirements

Symptoms of flashes and floaters
Dilated eye exam confirming PVD
B-scan ultrasound showing posterior hyaloid detachment

Code-Specific Risks

Incorrectly using unspecified laterality when right eye is documented.

Coding Notes

Ensure laterality is specified to avoid unspecified code usage.

View Full Code Details

Ancillary Codes

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

Presence of intraocular lens

Z96.1

Use if patient has pseudophakia post-cataract surgery.

Differential Codes

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

Retinal detachment with retinal break

H33.41

Use if PVD causes retinal tear or detachment.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Posterior Vitreous Detachment to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H43.811.

Impact

Clinical: May lead to misdiagnosis of retinal detachment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Always document findings of retinal examination., Use imaging to confirm absence of tears.

Impact

Reimbursement: May lead to incorrect billing and potential denial of claims., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Ensure laterality is clearly documented and coded appropriately.

Impact

Reimbursement: Incorrect coding may result in lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient's condition.

Mitigation Strategy

Document any retinal tears or detachments and use appropriate codes.

Impact

Risk of using unspecified codes when laterality is documented.

Mitigation Strategy

Implement checks to ensure laterality is coded correctly.

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 Posterior Vitreous Detachment, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Posterior Vitreous Detachment

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

Uncomplicated PVD

Specialty: Ophthalmology

Required Elements

Subjective symptoms
Objective findings
Assessment
Plan

Example Documentation

Subjective: 65M reports sudden onset of floaters and flashing lights OD × 3 days. Objective: Dilated exam OD: Weiss ring temporal to disc, no retinal tears. B-scan confirms PVD. Assessment: Acute posterior vitreous detachment, right eye (H43.811).

Examples: Poor vs. Good Documentation

Poor Documentation Example

PVD suspected, follow-up PRN.

Good Documentation Example

Acute PVD OD confirmed via scleral depression and B-scan (no retinal tear). Plan: Recheck in 2 weeks with repeat ultrasound (H43.811).

Explanation

The good example provides specific findings and a clear plan, supporting the chosen code.

Need help with ICD-10 coding for Posterior Vitreous Detachment? Ask your questions below.

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ICD-10 Coding for Posterior Vitreous Detachment(H43.811, H43.812, H43.813, H43.819, Z86.69)

Quick Navigation

Related ICD-10 Code Ranges

H43.81xPrimary Range

Z86.69

H33.4-

Code Comparison: When to Use Each Code

Clinical Decision Support

Key Information: ICD-10 code for posterior vitreous detachment

Primary ICD-10-CM Codes for posterior vitreous detachment

Decision Criteria

clinical Criteria

Applicable To

Excludes

Clinical Validation Requirements

Code-Specific Risks

Coding Notes

H43.812 - Vitreous degeneration, left eye

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

H43.813 - Vitreous degeneration, bilateral

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

H43.819 - Vitreous degeneration, unspecified eye

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

Z86.69 - Personal history of other diseases of the eye and adnexa

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

Ancillary Codes

Differential Codes

Documentation & Coding Risks

Failing to document absence of retinal tears.

Impact

Mitigation Strategy

Using unspecified laterality when specific laterality is documented.

Impact

Mitigation Strategy

Failing to code retinal detachment when present.

Impact

Mitigation Strategy

Laterality Documentation

Impact

Mitigation Strategy

Frequently Asked Questions

Documentation Templates for Posterior Vitreous Detachment

Uncomplicated PVD

Required Elements

Example Documentation

Examples: Poor vs. Good Documentation

Poor Documentation Example

Good Documentation Example

Explanation

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