ICD-10 Coding for White Without Pressure(H35.4)
Complete ICD-10-CM coding and documentation guide for White Without Pressure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to White Without Pressure
Key Information: ICD-10 code for white without pressure
Essential facts and insights about White Without Pressure
Primary ICD-10-CM Code for white without pressure
Decision Criteria
clinical Criteria
- Presence of translucent white/gray retinal lesions with scalloped borders
documentation Criteria
- Detailed description of retinal findings and laterality
Applicable To
- White without pressure
- Lattice degeneration
Excludes
- Retinal detachment (H33.-)
Clinical Validation Requirements
- Translucent white/gray areas on the retina
- Scalloped borders without vitreous traction
- OCT showing hyperreflective outer retinal layers
Code-Specific Risks
- Failure to specify laterality
- Not documenting associated conditions like high myopia
Coding Notes
- Ensure laterality is specified and document any associated conditions like high myopia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Degenerative myopia with peripheral retinal degeneration
H44.2DDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting White Without Pressure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H35.4.
Impact
Clinical: Incomplete clinical picture for patient management., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement for related conditions.
Mitigation Strategy
Always measure and document axial length in myopic patients., Use comprehensive templates that include associated conditions.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and reporting.
Mitigation Strategy
Always specify the affected eye(s) in the documentation.
Impact
Lack of OCT documentation to support WWOP diagnosis.
Mitigation Strategy
Ensure OCT findings are included in the patient's record.
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 White Without Pressure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for White Without Pressure
Use these documentation templates to ensure complete and accurate documentation for White Without Pressure. These templates include all required elements for proper coding and billing.
Incidental WWOP in a myopic patient
Specialty: OphthalmologyRequired Elements
- Patient age and refractive error
- Detailed retinal examination findings
- Imaging results (OCT)
- Axial length measurements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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