3rd Party News: 2018 ICD-10 CM Edition

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 1 Use CNTRL- F to search for a specific diagnosis, term, or ICD code. CONTENTS Refractive Error Pg.2. Lids and Lashes Pg.2. Cornea Pg.3. Conjunctiva P.4. A/C, Pupils, Iris, Sclera P.5. Lens P.5. Vitreous Retina Choroid P.6. Diabetic Retinopathy P.7. IOT and Glaucoma Pp. 8 & 9 Optic Nerve P.9. Macula, Macular Degeneration P.10. Functional (Amblyopia, phorias, etc.) P.10 Strabismus P.11. Systemic Dx. P.11. Visual Field Defect P.11 Blindness & Low Vision P.12. Other (HA, drug therapy, etc.) P.12. Instructions on downloading entire 2018 ICD-10 CM index and tabular list P.13. 3rd Party News: 2018 ICD-10 CM Edition Again this year the NOA has created a special ICD-10 issue of the 3rd Party Newsletter. This edition incorporates the additions and embellishments found in the 2018 revision of ICD-10 CM. These new diagnosis codes must be used when filing claims on or after October 1, 2017. How or why should you use this resource? If your claim s diagnosis codes are dependent on electronic health record software, these tables will help confirm the accuracy of your EHR ICD-10 diagnosis coding. If you file otherwise, we think you ll find the following pages more comprehensive and easier to follow than some other resources. You can find a diagnosis code by using the index above, which is based on anatomical location. Or, easier yet, use your computer s CNTRL-F function. Simply hold down the control key on your keyboard and then strike the F key. A box will appear where you can enter the diagnosis term or code of interest. The codes included in this ICD-10 3rd Party Newsletter are those most commonly used by ODs, but our tables are not all-inclusive. Should you need additional help, another resource can be found online at ICD-10 Data.com. If need more help, you have internet access to the entire list of ICD-10 diagnoses online. Go to page 13 of this document for instructions on downloading the entire 2018 ICD-10 CM TABULAR LIST and the 2018 ICD-10 INDEX. We believe our tables to be error free; however, remember that Dr. Quack is a feather-brained duck! We ve done our best, but there are no guarantees...use at your own risk!! We are grateful to Jen Petersen, CPOC, CPOA, billing and insurance coordinator for the Lincoln Vision Center, who created the original matrix upon which these tables are based. We also thank Dr. Jeremy Baumfalk for his editing/suggestions/corrections when these tables were originally instituted. 1

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 2 Refractive Error ICD 9 Dx ICD 10 OD OS OU Unspecified Eye 367.21 Regular Astigmatism H52.221 H52.222 H52.223 H52.229 367.22 Irregular Astigmatism H52.211 H52.212 H52.213 H52.219 367.0 Hyperopia H52.01 H52.02 H52.03 H52.00 367.1 Myopia H52.11 H52.12 H52.13 H52.10 Myopia- Degenerative w/ choroidal neovascularization H44.2A1 H44.2A2 H44.2A3 H44.2A9 Myopia- Degenerative w/ macular hole H44.2B1 H44.2B2 H44.2B3 H44.2B9 Myopia- Degenerative w/ retinal detachment H44.2C1 H44.2C2 H44.2C3 H44.2C9 Myopia- Degenerative w/ foveoschesis H44.2D1 H44.2D2 H44.2D3 H44.2D9 Myopia- Degenerative w/ other maculopathy H44.2E1 H44.2E2 H44.2E3 H44.2E9 367.4 Presbyopia H52.4 V72.0 Routine Eye Exam Z01.0...W/O abnormal findings Z01.00.Wth abnormal findings Z01.01 Lids and Lashes ICD 9 Dx ICD 10 OD RT Upper lid RT Lower Lid OD Unspec.Lid OS LT Upper Lid LT Lower Lid OS Unspec. Lid OU Unspecified or Unspecified Eye/ 373.00 Blepharitis, Unspecified H01.001 H01.002 H01.003 H01.004 H01.005 H01.006 H01.009 372.20 Blepharoconjunctivitis, Unspecified H10.501 H10.502 H10.503 H10.509 374.34 Blepharochalsis, Unspecified H02.31 H02.32 H02.33 H02.34 H02.35 H02.36 H02.30 333.81 Blepharospasm G24.5 373.2 Chalazion H00.11 H00.12 H00.13 H00.14 H00.15 H00.16 H00.19 375.30 Dacryocystitis, Unspecified H04.301 H04.302 H04.303 H04.309 374.87 Dermatochalasis H02.831 H02.832 H02.833 H02.834 H02.835 H02.836 H02.839 373.32 Dermatitis Allergic H01.111 H01.112 H01.113 H01.114 H01.115 H01.116 H01.119 Ecchymosis: Contusion of eyelid & periocular area 921.0..Initial visit S00.11XA S00.12XA S00.10XA..Subsequent visit S00.11XD S00.12XD S00.10XD..Sequela visit S00.11XS S00.12XS S00.10XS 374.00 Entropian H02.001 H02.002 H02.003 H02.004 H02.005 H02.006 H02.009 374.10 Ectropian H02.101 H02.102 H02.103 H02.104 H02.105 H02.106 H02.109 372.21 & 372.22 Epiphoria w/excess lacrimation H04.211 H04.212 H04.213 H04.219 Epiphoria insufficient drainage H04.221 H04.222 H04.223 H04.229 374.82 Eyelid Edema H02.841 H02.842 H02.843 H02.844 H02.845 H02.846 H02.849 373.11 Hordeolum Externum H00.011 H00.012 H00.013 H00.014 H00.015 H00.016 H00.019 373.12 Meibomianitis (Hordeolum Internum) H00.021 H00.022 H00.023 H00.024 H00.025 H00.026 H00.029 374.30 Ptosis, Unspecified H02.401 H02.402 H02.403 H02.409 376.01 Periorbital Cellulitis L03.213 374.05 Trichiasis w/o Entropian H02.051 H02.052 H02.053 H02.054 H02.055 H02.056 H02.059 216.1 Benign Neoplasm of Eyelid D23.10 2

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 3 Cornea 372.51 Pinguecula H11.151 H11.152 H15.153 H11.159 Corneal Abrasion w/o foreign body.. 918.1..Initial visit S05.01XA S05.02XA S05.00XA..Subsequent visit S05.01XD S05.02XD S05.00XD..Sequela visit S05.01XS S05.02XS S05.00XS 371.57 Corneal Dystrophy Endothelial H18.51 371.50 Corneal Dystrophy Unspecified H18.50 371.20 Corneal Edema, Unspecified H18.20 Corneal Foreign Body.. 930.0..Initial visit T15.01XA T15.02XA T15.00XA..Subsequent visit T15.01XD T15.02XD T15.00XD..Sequela visit T15.01XS T15.02XS T15.00XS 371.20 Corneal Infiltrate H18.20 370.60 Corneal Neovascularization, Unspecified H16.401 H16.402 H16.403 H16.409 371.00 Corneal Opacity, Central H17.11 H17.12 H17.13 H17.10 Corneal Opacity, peripheral H17.821 H17.822 H17.823 H17.829 370.00 Corneal Ulcer, Unspecified H16.001 H16.002 H16.003 H16.009 Corneal Ulcer, Central H16.011 H16.012 H16.013 H16.019 375.15 Dry Eye Syndrome H04.121 H04.122 H04.123 H04.129 370.20 Keratitis, Unspecified superficial H16.101 H16.102 H16.103 H16.109 370.21 Keratitis, Punctate H16.141 H16.142 H16.143 H16.149 Keratoconus, Unspecified H18.601 H18.602 H18.603 H18.609 371.60 Keratoconus, Stable H18.611 H18.612 H18.613 H18.619 Keratoconus, Unstable H18.621 H18.622 H18.623 H18.629 372.40 Pterygium, Unspecified H11.001 H11.002 H11.003 H11.009 V42.5 Corneal Transplant Status [Secondary diagnosis only] Z94.7 371.42 Recurrent Corneal Erosion H18.831 H18.832 H18.833 H18.839 Herpesviral Keratitis/keratoconjuntivitis B00.52 Herpes Zoster Ocular Disease Unspecified B02.30 Herpes Zoster Ocular Disease Conjunctivitis B02.31 054.43 Herpes Zoster Ocular Disease Iridocyclitis B02.32 Herpes Zoster Ocular Disease Keratitis B02.33 Herpes Zoster Ocular Disease Scleritis B02.34 Herpes Zoster Ocular Disease Other B02.39 3

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 4 Conjunctiva Conjunctiva Abrasion.. 918.2..Initial visit S05.01XA S05.02XA S05.00XA..Subsequent visit S05.01XD S05.02XD S05.00XD..Sequela visit S05.01XS S05.02XS S05.00XS 372.54 Conjunctiva Concretions H11.121 H11.122 H11.123 H11.129 Conjunctiva Foreign Body** 930.1..Initial visit T15.11XA T15.12XA T15.10XA..Subsequent visit T15.11XD T15.12XD T15.10XD..Sequela visit T15.11XS T15.12XS T15.10XS 372.72 Conjunctival Hemorrhage H11.31 H11.32 H11.33 H11.30 Chronic Conjunctivitis Unspecified H10.401 H10.402 H10.403 H10.409 Acute Conjunctivitis Unspecified H10.31 H10.32 H10.33 H10.30 Acute Atopic Conjunctivitis H10.11 H10.12 H10.13 H10.10 Keratoconjunctivitis due to adenovirus B30.0 372.10 Conjunctivitis due to adenovirus B30.1 Viral Pharyngoconjunctivitis B30.2 Acute epidemic hemorrhagic conjunctivitis B30.3 Other viral conjunctivitis B30.8 Viral Conjunctivitis Unspecified B30.9 224.3 Benign Neoplasm Conjunctiva D31.01 D31.02 D31.00 372.75 Conjunctival Cyst H11.441 H11.442 H11.443 H11.449 4

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 5 A/C, Pupil, Iris, Sclera 379.00 Episcleritis Unspecified H15.101 H15.102 H15.103 H15.109 364.41 Hyphema H21.01 H21.02 H21.03 H21.00 Iridocyclitis Primary H20.011 H20.012 H20.013 H20.019 Iridocyclitis Recurrent Acute H20.021 H20.022 H20.023 H20.029 Iridocyclitis Secondary Infectious H20.031 H20.032 H20.033 H20.039 364.00 Iridocyclitis Secondary Noninfectious H20.041 H20.042 H20.043 H40.049 Iridocyclitis Chronic H20.11 H20.12 H20.13 H20.10 Iridocyclitis Lens-induced H20.21 H20.22 H20.23 H20.20 Iridocyclitis Unspecified H20.9 364.53 Degeneration of Iris - pigmentary H21.231 H21.232 H21.233 H21.239 Pupil Anomaly - other congenital malformation of iris Q13.2 Pupil - unspecified anomaly of pupillary function H57.00 Argyll Robertson Pupil, atypical H57.01 379.40 Anisocoria H57.02 Miosis H57.03 Mydriasis H57.04 Tonic Pupil H57.051 H57.052 H57.053 H57.059 Other anomalies of pupillary function H57.09 Scleritis Unspecified H15.001 H15.002 H15.003 H15.009 379.00 Anterior Scleritis H15.011 H15.012 H15.013 H15.019 Other Scleritis H15.091 H15.092 H15.093 H15.099 363.20 Unspecified chorioretinal inflammation H30.91 H30.92 H30.93 H30.90 224.0 Benign Neoplasm Ciliary body D31.41 D31.42 D31.40 Lens 366.12 Cataract Incipient "Other" H25.091 H25.092 H25.093 H25.099 366.13 Cataract Anterior subcapsular H25.031 H25.032 H25.033 H25.039 366.14 Cataract Poster subcapsular H25.041 H25.042 H25.043 H25.049 366.15 Cataract Cortical Incipient H25.011 H25.012 H25.013 H25.019 366.16 Cataract Nuclear sclerotic H25.11 H25.12 H25.13 H25.10 366.17 Cataract Mature - Other Age Related Cataract H25.89 366.18 Cataract Hypermature morgagnian H25.21 H25.22 H25.23 H25.20 379.31 Aphakia H27.01 H27.02 H27.03 H27.00 V43.1 Pseudophakia [Secondary diagnosis only] Z96.1 366.53 Capsular Haze - other secondary cataract H26.491 H26.492 H26.493 H26.499 5

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 6 Vitreous 379.22 Crystalline Deposits in Vitreous Body (asteroid hyalosis) H43.21 H43.22 H43.23 H43.20 379.21 Vitreous Degeneration (detachment) H43.811 H43.812 H43.813 H43.819 379.23 Vitreous Hemorrhage H43.11 H43.12 H43.13 H43.10 379.24 Other Vitreous Opacities (floaters) H43.391 H43.392 H43.393 H43.399 Retina Choroid 224.6 Chorodial Nevus D31.31 D31.32 D31.30 363.20 Chorioretinitis - Unspecified disseminated Chorioretinal inflammation H30.101 H30.102 H30.103 H30.109 363.30 Chorioretinal Scar - Unspecified H31.001 H31.002 H31.003 H31.009 361.01 Retinal Detachment - Unspecified - with break [new or old] H33.001 H33.002 H33.003 H33.009 Retinal Detachment -Serous - w/o break H33.21 H33.22 H33.23 H33.20 361.10 Retinoschisis - Unspecified H33.101 H33.102 H33.103 H33.109 361.30 Retinal break w/o detachment - Unspecified H33.301 H33.302 H33.303 H33.309 361.32 Retinal HorseshoeTear w/o detachment H33.311 H33.312 H33.313 H33.319 361.31 Retinal Hole H33.321 H33.322 H33.323 H33.329 362.11 Hypertensive Retinopathy H35.031 H35.032 H35.033 H35.039 362.30 Retinal Vascular Occlustion H34.9 Central Retinal Vein Occlusion with Macular Edema H34.8110 H34.8120 H34.8130 H34.8190 Central Retinal Vein Occlusion with Retinal Neovacularization H34.8111 H34.8121 H34.8131 H34.8191 Central Retinal Vein Occlusion - Stable H34.8112 H34.8122 H34.8132 H34.8192 Tributary Retinal Vein Occlusion with Macular Edema H34.8310 H34.8320 H34.8330 H34.8390 Tributary Retinal Vein Occlusion with Retinal Neovacularization H34.8311 H34.8321 H34.8331 H34.8391 Tributary Retinal Vein Occlusion - Stable H34.8312 H34.8322 H34.8332 H34.8392 362.57 Retinal Drusen (macula) H35.361 H35.362 H35.363 H35.369 362.60 Retinal Degeneration Peripheral - Unspecified H35.40 362.63 Lattice Degeneration H35.411 H35.412 H35.413 H35.419 362.74 Retinitis Pigmentosa - Pigmentary Retinal Dystrophy H35.52 362.76 Retinal Pigment Epithelium Dystrophy H35.54 362.81 Retinal Hemorrhage H35.61 H35.62 H35.63 H35.60 362.82 Retital Exudates/Deposits - Other Specified Retinal Disorders H35.89 362.83 Retinal Edema H35.81 6

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 7 TYPE 1 Diabetic Retinopathy WITHOUT Macular Edema ICD 9 ICD 10 OD OS OU Unspecified eye Non-proliferative Mild E10.3291 E10.3292 E10.3293 E10.3299 Non-proliferative Moderate E10.3391 E10.3392 E10.3393 E10.3399 Non-proliferative Severe E10.3491 E10.3492 E10.3493 E10.3499 Proliferative E10.3591 E10.3592 E10.3593 E10.3599 TYPE 1 Diabetic Retinopathy WITH Macular Edema ICD 9 ICD 10 OD OS OU Unspecified eye Non-proliferative Mild E10.3211 E10.3212 E10.3213 E10.3219 Non-proliferative Moderate E10.3311 E10.3312 E10.3313 E10.3319 Non-proliferative Severe E10.3411 E10.3412 E10.3413 E10.3419 Proliferative E10.3511 E10.3512 E10.3513 E10.3519 Resolved following treatment E10.37X1 E10.37X2 E10.37X3 E10.37X9 TYPE 1 Diabetic Retinopathy WITH Retinal Detachment ICD 9 ICD 10 OD OS OU Unspecified eye Prolifrtive retinopthy w/ tractional detachmt involving macula E10.3521 E10.3522 E10.3523 E10.3529 Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E10.3531 E10.3532 E10.3533 E10.3539 Prolif. Retpthy w/ tractional & rhegmatogenous detachment E10.3541 E10.3542 E10.3543 E10.3549 TYPE 2 Diabetic Retinopathy WITHOUT Macular Edema ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye Non-proliferative Mild E11.3291 E11.3292 E11.3293 E11.3299 Non-proliferative Moderate E11.3391 E11.3392 E11.3393 E11.3399 Non-proliferative Severe E11.3491 E11.3492 E11.3493 E11.3499 Proliferative E11.3591 E11.3592 E11.3593 E11.3599 TYPE 2 Diabetic Retinopathy WITH Macular Edema ICD 9 Requires 2nd code: use of Z79.4 insulin; Z79.84 oral medication ICD 10 OD OS OU Unspecified eye Non-proliferative Mild E11.3211 E11.3212 E11.3213 E11.3219 Non-proliferative Moderate E11.3311 E11.3312 E11.3313 E11.3319 Non-proliferative Severe E11.3411 E11.3412 E11.3413 E11.3419 Proliferative E11.3511 E11.3512 E11.3513 E11.3519 Resolved following treatment E11.37X1 E11.37X2 E11.37X3 E11.37X9 TYPE 2 Diabetic Retinopathy WITH Retinal Detachment ICD 9 ICD 10 OD OS OU Unspecified eye Prolifrtive retinopthy w/ tractional detachmt involving macula E11.3521 E11.3522 E11.3523 E11.3529 Prolifrtive retinopthy w/ tractional detachmt NOT involving macula E11.3531 E11.3532 E11.3533 E11.3539 Prolif. Retpthy w/ tractional & rhegmatogenous detachment E11.3541 E11.3542 E11.3543 E11.3549 7

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 8 IOT & Glaucoma ICD 9 Glaucoma Suspect OD OS OU Unspecified eye 365.01 Open Angle with borderline findings Low Risk H40.011 H40.012 H40.013 H40.019 Open Angle with borderline findings High Risk H40.021 H40.022 H40.023 H40.029 365.02 Anatomical Narrow Angle H40.031 H40.032 H40.033 H40.039 365.04 Ocular Hypertension H40.051 H40.052 H40.053 H40.059 365.11 Primary Open Angle Glaucoma OD OS OU Unspecified eye Open Angle Glaucoma Stage Unspecified H40.1110 H40.1120 H40.1130 H40.1190 Open Angle Glaucoma Mild H40.1111 H40.1121 H40.1131 H40.1191 Open Angle Glaucoma Moderate H40.1112 H40.1122 H40.1132 H40.1192 Open Angle Glaucoma Severe H40.1113 H40.1123 H40.1133 H40.1193 Open Angle Glaucoma Indeterminate H40.1114 H40.1124 H40.1134 H40.1194 365.20 Primary Angle Closure Glaucoma Unspecified [PCAG ICD-10 codes are not broken down by eye] Primary Angle Closure Glaucoma Unspecified Primary Angle Closure Glaucoma Mild Primary Angle Closure Glaucoma Moderate Primary Angle Closure Glaucoma Severe Primary Angle Closure Glaucoma Indeterminate ICD-10 H40.20X0 H40.20X1 H40.20X2 H40.20X3 H40.20X4 Low Tension Glaucoma (2ndary to POAG) OD OS OU Unspecified eye 365.12 Low Tension Glaucoma Stage Unspecified H40.1210 H40.1220 H40.1230 H40.1290 Low Tension Glaucoma Mild H40.1211 H40.1221 H40.1231 H40.1291 Low Tension Glaucoma Moderate H40.1212 H40.1222 H40.1232 H40.1292 Low Tension Glaucoma Severe H40.1213 H40.1223 H40.1233 H40.1293 Low Tension Glaucoma Indeterminate H40.1214 H40.1224 H40.1234 H40.1294 Pigmentary Glaucoma (2ndary to POAG) OD OS OU Unspecified eye Pigmentary Glaucoma Stage Unspecified H40.1310 H40.1320 H40.1330 H40.1390 365.13 Pigmentary Glaucoma Mild H40.1311 H40.1321 H40.1331 H40.1391 Pigmentary Glaucoma Moderage H40.1312 H40.1322 H40.1332 H40.1392 Pigmentary Glaucoma Severe H40.1313 H40.1323 H40.1333 H40.1393 Pigmentary Glaucoma Indeterminate H40.1314 H40.1324 H40.1334 H40.1394 GLAUCOMA & OPTIC NERVE CONTINUED. 8

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 9 Capsular Glaucoma with Pseudoexfoliation OD OS OU Unspecified eye 365.52 Capsular Glaucoma w/pseudoexfoliation Unspecified H40.1410 H40.1420 H40.1430 H40.1490 Capsular Glaucoma w/pseudoexfoliation Mild H40.1411 H40.1421 H40.1431 H40.1491 Capsular Glaucoma w/pseudoexfoliation Moderate H40.1412 H40.1422 H40.1432 H40.1492 Capsular Glaucoma w/pseudoexfoliation Severe H40.1413 H40.1423 H40.1433 H40.1493 Capsular Glaucoma w/pseudoexfoliation Indeterminate H40.1414 H40.1424 H40.1434 H40.1494 365.03 Steroid Responder H40.041 H40.042 H40.043 H40.049 365.21 Intermittent Angle Closure Glaucoma H40.231 H40.232 H40.233 H40.239 365.22 Acute Angle Closure Glaucoma H40.211 H40.212 H40.213 H40.219 Chronic Angle Closure Glaucoma OD OS OU Unspecified eye 365.23 Chronic Angle Closure Glaucoma stage Unspecified H40.2210 H40.2220 H40.2230 H40.2290 Chronic Angle Closure Glaucoma Mild H40.2211 H40.2221 H40.2231 H40.2291 Chronic Angle Closure Glaucoma Moderate H40.2212 H40.2222 H40.2232 H40.2292 Chronic Angle Closure Glaucoma Severe H40.2213 H40.2223 H40.2233 H40.2293 Chronic Angle Closure Glaucoma Indeterminate H40.2214 H40.2224 H40.2234 H40.2294 Optic Nerve 377.41 Ischemic Optic Neuropathy H47.011 H47.012 H47.013 H47.019 377.10 Optic Atrophy, Unspecified H47.20 Optic Atrophy, Primary H47.211 H47.212 H47.213 H47.219 Optic Atrophy, Hereditary H47.22 Optic Atrophy, Glaucomatous H47.231 H47.232 H47.233 H47.239 Optic Atrophy, Other H47.291 H47.292 H47.293 H47.299 377.21 Optic Disc Drusen H47.321 H47.322 H47.323 H47.329 377.30 Optic Neuritis H46.01 H46.02 H46.03 H46.00 377.00 Papilledema unspecified H47.10 Papilledema associated with retinal disorder (choked disc) H47.13 Foster-Kennedy syndrome H47.141 H47.142 H47.143 H47.149 377.31 Papillitis H46.01 H46.02 H46.03 H46.00 377.24 Pseudopapilledema H47.331 H47.332 H47.333 H47.339 9

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 10 Macular Degeneration ARMD 362.50 Unspecified Macular Degeneration H35.30 ARMD Non-Exudative Stg. Unspecified H35.3110 H35.3120 H35.3130 H35.3190 ARMD Non-Exudative Early Dry H35.3111 H35.3121 H35.3131 H35.3191 ARMD Non-Exudative Interm. Dry H35.3112 H35.3122 H35.3132 H35.3192 ARMD Non-Exudative Advanced W/O sub-foveal involvement H35.3113 H35.3123 H35.3133 H35.3193 ARMD Non-Exudative Advanced With sub-foveal involvement H35.3114 H35.3124 H35.3134 H35.3194 OD OS OU Unspecified eye ARMD Exudative Stg. Unspecified H35.3210 H35.3220 H35.3230 H35.3290 ARMD Exudative With Active Choroidal Neovacularization H35.3211 H35.3221 H35.3231 H35.3291 ARMD Exudative With Inactive Choroidal Neovacularization H35.3212 H35.3222 H35.3232 H35.3292 ARMD Exudative with Inactive Scar H35.3213 H35.3223 H35.3233 H35.3293 Macula 362.53 Macular CME H35.351 H35.352 H35.353 H35.359 362.54 Macular Cyst, Hole or Pseudohole H35.341 H35.342 H35.343 H35.349 362.56 Puckering of macula H35.371 H35.372 H35.373 H35.379 Functional 367.32 Aniseikonia H52.32 367.51 Accommodative Paresis H52.521 H52.522 H52.523 H52.529 368.00 Amblyopia Unspecified H53.001 H53.002 H52.003 H53.009 Amblyopia Suspect H53.041 H53.042 H53.043 H53.049 368.13 Photophobia - Asthenopia - Visual discomfort H53.141 H53.142 H53.143 H53.149 368.2 Diplopia H53.2 368.33 Fusion Problems - Fusion w/defective Stereopsis H53.32 378.40 Hyperphoria - Vertical heterophoria H50.53 378.41 Esophoria H50.51 378.42 Exophoria H50.52 378.83 Convergence Insufficiency H51.11 378.83 Convergence Excess H51.12 379.50 Nystagmus - Unspecified H55.00 379.91 Eyepain - Ocular Pain H57.11 H57.12 H57.13 H57.10 10

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 11 Systemic ICD 9 Dx ICD 10 250.00 Diabetes Type II - without complications E11.9 250.01 Diabetes Type I - without complications E10.9 790.29 Pre-Diabetes R73.03 790.29 Pre-Diabetes - Other abnormal glucose R73.09 340 Multiple Sclerosis G35 358.0 Myasthenia Gravis w/o exacerbation G70.00 376.21 Exophthalmos Unspecified H05.20 382.39 Dermatitis of Skin Unspecified L30.9 435.9 TIA Unspecified G45.9 714.0 Rheumatoid Arthritis M06.9 716.9 Osteoarthritis - Unspecified M19.90 Strabismus Esotropia Unspecified H50.00 378.00 Esotropia Monocular H50.011 H50.012 Esoptropia Alternating H50.05 Exotropia Unspecified H50.10 378.10 Exotropia monocular H50.111 H50.112 Exotropia Alternating H50.15 378.50 Other Paralytic strabismus H49.881 H49.882 H49.883 H49.889 378.51 Third Nerve Palsy H49.01 H49.02 H49.03 H49.00 378.53 Fourth Nerve Palsy H49.11 H49.12 H49.13 H49.10 378.54 Sixth Nerve Palsy H49.21 H49.22 H49.23 H49.20 Visual Field Defect 368.40 Visual Field Defect Unspecified H53.40 Central Scotoma H53.411 H53.412 H53.413 H53.419 Scotoma of blind spot H53.421 H53.422 H53.423 H53.429 Sector or arcuate defect H53.431 H53.432 H53.433 H53.439 Other localized defect H53.451 H53.452 H53.453 H53.459 Generalized contraction of visual field H53.481 H53.482 H53.483 H53.489 Right Side Left Side Unspecified side Homonymous bilateral field defect H53.461 H53.462 H53.469 Heteronymous bilateral field defect H53.47 11

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 12 Blindness and Low Vision Dx Categories Category 1: 20/70-20/200 Category 2: 20/200-20/400 Category 3: 20/400-20/1200 Category 4: 20/1200 to light perception only Category 5: NLP BLINDNESS BOTH EYES Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5 ~Blind OD Category 3 H54.0X33 H54.0X34 H54.0X35 ~Blind OD Category 4 H54.0X43 H54.0X44 H54.0X45 ~Blind OD Category 5 H54.0X53 H54.0X54 H54.0X55 BLIND OD & LOW VISION OS Lw Visn OS Catgy 1 Lw Visn OS Catgy 2 ~Blind OD Category 3 H54.1131 H54.1132 ~Blind OD Category 4 H54.1141 H54.1142 ~Blind OD Category 5 H54.1151 H54.1152 BLIND OS & LOW VISION OD Lw Visn OD Catgy 1 Lw Visn OD Catgy 2 ~Blind OS Category 3 H54.1213 H54.1223 ~Blind OS Category 4 H54.1214 H54.1224 ~Blind OS Category 5 H54.1215 H54.1225 LOW VISION BOTH EYES Lw Visn OS Catgy 1 Lw Visn OS Catgy 2 ~Low Vision OD Category 1 H54.2X11 H54.2X12 ~Low Vision OD Category 2 H54.2X21 H54.2X22 NORMAL VISION IN ONE EYE AND LOW VISION IN THIS EYE Lw Visn OD Catgy 1 Lw Visn OD Catgy 2 Lw Visn OS Catgy 1 Lw Visn OS Catgy 1 ~Normal vision in one eye & low vision in other eye H54.511A H54.512A H54.52A H54.52A2 NORMAL VISION IN ONE EYE AND BLIND IN THIS EYE Blind OD Catgy 3 Blind OD Catgy 4 Blind OD Catgy 5 Blind OS Catgy 3 Blind OS Catgy 4 Blind OS Catgy 5 ~Normal vision in one eye & blind in other eye H54.413A H54.414A H54.415A H54.42A3 H54.42A4 H54.42A5 Other V58.69 Long term (current use) of drug therapy - other Z79.899 362.34 Amaurosis Fugax G45.3 368.51 Color Deficiency - Unspecified Hereditary Retinal Dystrophy H53.50 784.0 Headache R51 346.00 Migraine w/ Aura, Not retractable, w/o status migrainosus G43.109 Migraine w/o Aura, Not retractable, w/o status migrainosus G43.009 368.15 Photophobia - Visual Discomfort H53.141 H53.142 H53.143 H53.149 270.2 Albinism Unspecified E70.30 Ocular Albinism Unspecified E70.319 351.8 Facial Myokymia G51.4 921.3 Berlin's Disease - Other injuries of eye and orbit S05.8X1 S05.8X2 S05.8X9 368.9 Visual Disturbance Unspecified H53.9 12

2018 ICD-10 Special Edition of the NOA 3rd Party Newsletter Page 13 Instructions on downloading the 2018 ICD-10 CM Index and the 2018 ICD-10 CM Tabular List On occasion the code you are seeking may not be available in the previous 12 pages. CMS has made the thousands of pages of the ICD-10 CM index and tablular list available for download. Simply follow the directions below, and then use the CNTRL-F function to search the index and tabular list for the diagnosis or code of interest. 1. Go to the CMS 2018 ICD-10 CM and GEMS web page (screenshot at right). 2. Click on the download 2018 Code Tables and Index [ZIP 20MB] 3. All of the files in the red box will be downloaded to your computer. You are only interested in the two large pdf files circled in red. 4. Save those two files to a special folder on your computer. 5. When you want to find a particular diagnosis term or code, go to the folder containing those files and: A. Open the icd10cm_index_2018.pdf file. B. Use CNTL-F to search for the diagnosis term in question. C. Once your term is found in the index, note or copy its corresponding ICD-10 root (non-billable) diagnosis code. D. Now open the icd10cm_tabular_2018.pdf file. E. Use CNTL-F to search for the root diagnosis code you just copied from the index file. F. Most likely your tabular list search will reveal a number of billable diagnosis codes from which to chose. Of the codes found, always chose the most specific code appropriate for the patient s condition. Specificity is important. 13