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Get answers to your coding questions

November 14, 2016

Got a coding question? AOA’s Coding Experts are here to help.

Tag(s): Practice Management, Billing and Coding

From the September 2016 edition of AOA Focuspage 51.

AOA's Coding Experts share solutions to your coding conundrums.

I heard that the ICD-10 code H59.311 (post-procedural hemorrhage and hematoma of right eye and adnexa following an ophthalmic procedure) was revised. What is the revision for this code?

Several diagnosis codes related to post-procedural hemorrhages of the eye are being revised. H58.311 is being revised to: post-procedural hemorrhage of right eye and adnexa following an ophthalmic procedure. The additional revisions in this code series are available in the Codes for Optometry book.

I heard that E08.321 (diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema) has been deleted in the updated ICD-10 code set that goes into effect on Oct. 1, 2016. How should I report this condition going forward?

The revised code set that took effect on Oct. 1 includes greater specificity related to the eye, or eyes, impacted with diabetic retinopathy. You should select the most appropriate code from those listed below:

  • E08.3211: Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye.
  • E08.3212: Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye.
  • E08.3213: Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral.
  • E08.3219: Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye.

I heard that H34.811 (central retinal vein occlusion, right eye) has been deleted in the updated ICD-10 code set that goes into effect on Oct. 1, 2016. How should I report this condition going forward?

In the updated code set, additional codes were added for greater specificity. You should select the most appropriate code from those listed below:

  • H34.8110: Central retinal vein occlusion, right eye, with macular edema.
  • H34.8111: Central retinal vein occlusion, right eye, with retinal neovascularization.
  • H34.8112: Central retinal vein occlusion, right eye, stable .