ICD -10 -CM Pediatric/Strabismus
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1 ICD -10 -CM Pediatric/Strabismus Amblyopia Deprivation H H H H Refractive H H H H Strabismic H H H H Suspect H H H H Unspecified H H H H Arthritis Includes, but not limited to: Juvenile rheumatoid arthritis, unspecified M08.00 Conjunctivitis Includes, but not limited to: H53.0- M08.- H10.- Acute atopic H10.11 H10.12 H10.13 Acute follicular H H H H Acute toxic H H H H Angular blepharoconjunctivitis H H H H Chronic follicular H H H H Chronic giant papillary H H H H Contact blepharoconjunctivitis H H H H Due to Acanthamoeba B60.12 Due to adenovirus B30.1 Herpesviral B00.53 Neonatal P39.1 Other chronic allergic H10.45 Other mucopurulent H H H H Phlyctenular keratoconjunctivitis H H H H Simple chronic H H H H Vernal H
2 Esotropia Accommodative component in esotropia H50.43 Alternating H50.05 Alternating, with A pattern H50.06 Alternating, with V pattern H50.07 Alternating, other H50.08 Intermittent alternating H50.32 Intermittent monocular H H Monocular H H Monocular, with A pattern H H Monocular, with V pattern H H Monocular, with other noncomitancies H H Unspecified H50.00 Exotropia H50.0- H50.0- Alternating H50.15 Alternating, with A pattern H50.16 Alternating, with V pattern H50.17 Alternating, other H50.18 Intermittent alternating H50.34 Intermittent monocular H H Monocular H H Monocular, with A pattern H H Monocular, with V pattern H H Monocular, with other noncomitancies H H Unspecified H50.10 Eyelids Includes, but not limited to: Blepharitis, unspecified H01.001, H H01.004, H H01.003, H01.006, H Chalazion H00.11, H00.12 H00.14, H00.15 H00.13, H00.16, H00.19 These codes include lid laterality as the last character: 1-RUL, 2-RLL, 4-LUL, 5-LLL 2
3 Lacrimal Includes, but not limited to: Acquired nasolacrimal duct stenosis H H H H Congenital nasolacrimal duct stenosis and stricture Q10.5 Epiphora due to excess lacrimation H H H H Epiphora due to insufficient drainage H H H H Neonatal nasolacrimal duct obstruction H H H H Lens Includes, but not limited to: Aphakia H27.01 H27.02 H27.03 H27.00 Anterior subcapsular polar infantile and juvenile cataract H H H H Infantile and juvenile cortical, lamellar or zonular cataract H H H H Infantile and juvenile nuclear cataract H H H H Posterior subcapsular polar infantile and juvenile cataract H H H H Pseudophakia Z96.1 Secondary cataract H H H H Subluxation of lens H H H H Total traumatic cataract H H H H Mass Includes, but not limited to: Benign neoplasm of orbit, unspecified site D31.61 D31.62 D31.60 Hemangioma of skin and subcutaneous sites D18.01 Hemangioma of other sites D18.09 Nystagmus H04.- H55.0- Congenital H55.01 Dissociated H55.04 Latent H55.02 Other forms H55.09 Unspecified H55.00 Visual deprivation H
4 Palsies Third oculomotor nerve H49.01 H49.02 H49.03 H49.00 Fourth oculomotor nerve H49.11 H49.12 H49.13 H49.10 Sixth oculomotor nerve H49.21 H49.22 H49.23 H49.20 Kearns-Sayre Syndrome H H H H Other paralytic strabismus H H H H Progressive external ophthalmoplegia H49.41 H49.42 H49.43 H49.40 Total (external) ophthalmoplegia H49.31 H49.32 H49.33 H49.30 Unspecified H49.9 Ptosis Congenital Q10.0 Mechanical H H H H Myogenic H H H H Paralytic H H H H Refractive Anisometropia H52.31 Astigmatism, irregular H H H H Astigmatism, regular H H H H Hypermetropia H52.01 H52.02 H52.03 H52.00 Myopia H52.11 H52.12 H52.13 H52.10 Routine Exam Z01.00 Retinopathy of Prematurity H49.- H02.- H52.- H35.1- Stage 0 H H H H Stage 1 H H H H Stage 2 H H H H Stage 3 H H H H Stage 4 H H H H Stage 5 H H H H Unspecified H H H H
5 Strabismus H50.- Alternating heterophoria H50.55 Cyclophoria H50.54 Duane s Syndrome H H Esophoria H50.51 Exophoria H50.52 Heterophoria H50.50 Hypertropia/Vertical H50.21 H50.22 Mechanical (Brown s Sheath syndrome) H H H50.60 Other mechanical H50.69 Other specified H50.89 Pseudostrabismus Q10.3 Unspecified H50.9 Vertical heterophoria H50.53 Pseudostrabismus Q10.3 Systemic Diabetes mellitus, type 1 without complications E10.9 Down s syndrome, unspecified Q90.9 Marfan s syndrome Q87.42 Myasthenia Gravis with (acute) exacerbation G70.01 Myasthenia Gravis without (acute) exacerbation G70.00 Myoneural disorder G70.9 Neurofibromatosis, type 1 Q85.01 Neurofibromatosis, type 2 Q85.02 Neurofibromatosis, other Q85.09 Port Wine Stain Q82.5 Sturge-Weber Q85.8 Torticollis, congenital Q68.0 5
6 Uveitis Iridocyclitis Chronic H20.11 H20.12 H20.13 H20.10 Panuveitis H H H H Posterior cyclitis H30.21 H30.22 H30.23 H30.20 Primary H H H H Secondary infectious H H H H Secondary noninfectious H H H H Sympathetic H H H H Miscellaneous Abrasion, conjunctival S S S Abrasion, corneal S S S Cerebral palsy, unspecified G80.9 Conjunctival foreign body T T T Corneal foreign body T T T The appropriate 7th character to be added: A-initial encounter, D-subsequent encounter, or S-Sequela Anisocoria H57.02 Aniridia Q13.1 Blepharospasm G24.5 Convergence Insufficiency H51.11 Cortical blindness H H H Diplopia H53.2 Headache NOS R51 Observation and evaluation of newborn for other specified suspected condition ruled out Z05.8 Marcus Gunn s syndrome Q07.8 Other specified disorders of binocular movement H51.8 Other cerebral palsy G80.9 Ocular pain H57.11 H57.12 H57.13 H57.10 Other specified disorders of eye and adnexa H57.8 Retinoblastoma C69.21 C69.22 C69.20 Unspecified disorder of eye and adnexa H57.9 Unspecified disorder of visual pathways H47.9 6
7 Miscellaneous (Continued) Unspecified intellectual disabilities F79 Unspecified visual loss H54.7 Disclaimer and Limitation of Liability: All information provided by the American Academy of Ophthalmology, its employees, agents, or representatives participating in the Academy s coding service is as current and reliable as reasonably possible. The Academy does not provide legal or accounting services or advice. You should seek legal and/ or accounting advice if appropriate to your situation. Coding is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that either public or private payers will agree with the Academy s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from any such information provided by the Academy, its employees, agents, or representatives. The Academy s sole liability for any claim connected to its provision of coding information or services shall be limited to the amount paid by you by to the Academy for the information or coding service American Academy of Ophthalmology All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission from the publisher. 7
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