Dr Kinit AminDiabetes Related Eye Diseases
Diabetes is a complex metabolic disease affecting blood sugar level causing hyperglycemia which in turn damage eyes. In majority of cases, blurry vision is the first warning sign of diabetes. Fluid leak into lens of eyes makes the lens swell and change shape leading to blurry vision. The best way to keep eyes healthy is to keep diabetes under control. Anti-diabetics, physically fitness, healthy diet and avoid smoking may help to control blood sugar levels which further reduce risk of diabetic eye disease. For perfect clinical documentation of diabetic eye diseases, ophthalmologists may utilize the services of professional medical billing companies.
Here in below are three diabetes related eye diseases and their ICD-10 codes:
1. Diabetic Retinopathy:
Disorders of the retina caused by diabetes are known as diabetic retinopathy. Two major types of retinopathies are (i) Non-proliferative retinopathy and (ii) Proliferative retinopathy. Non-proliferative type is the most common and there are no abnormal blood vessels, but capillaries at the back of the eye balloon form pouches. In some cases, capillary walls lose their ability to control the passage of substances between the blood and the retina, resulting macula swells with fluid (macula edema), causing vision blurs and total vision loss. In proliferative retinopathy, new abnormal blood vessels start growing in the retina which are weak and oozing blood resulting in blurred vision.
Typically, in early stages, retinopathy is asymptomatic. As the disease advances, floaters, blurred vision, impaired colour vision, dark or empty areas in vision and vision loss may be experienced by patient.
ICD-10 codes for diabetic retinopathy are:
Type 1 Diabetes, Non-proliferative Retinopathy
E10.31 – Type 1 diabetes mellitus with unspecified diabetic retinopathy E10.32 – Type 1 diabetes mellitus with mild non-proliferative diabetic retinopathy
E10.329 – Type 1 diabetes mellitus with mild non-proliferative diabetic retinopathy without macular edema
E10.33 – Type 1 diabetes mellitus with moderate non-proliferative diabetic retinopathy
E10.339 – Type 1 diabetes mellitus with moderate non-proliferative diabetic retinopathy without macular edema
E10.34 – Type 1 diabetes mellitus with severe non-proliferative diabetic retinopathy
E10.341 – Type 1 diabetes mellitus with severe non-proliferative diabetic retinopathy with macular edema
E10.349 – Type 1 diabetes mellitus with severe non-proliferative diabetic retinopathy without macular edema
Type 1 Diabetes, Proliferative Retinopathy
E10.35 – Type 1 diabetes mellitus with proliferative diabetic retinopathy
E10.351 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E10.352 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
E10.353 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
E10.354 – Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and hematogenous retinal detachment
E10.355 – Type 1 diabetes mellitus with stable proliferative diabetic retinopathy
E10.359 – Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema
Type 2 Diabetes, Non-proliferative Retinopathy
E11.31 – Type 2 diabetes mellitus with unspecified diabetic retinopathy E11.32 – Type 2 diabetes mellitus with mild non-proliferative diabetic retinopathy
E11.321 – Type 2 diabetes mellitus with mild non-proliferative diabetic retinopathy with macular edema
E11.329 – Type 2 diabetes mellitus with mild non-proliferative diabetic retinopathy without macular edema
E11.33 – Type 2 diabetes mellitus with moderate non-proliferative diabetic retinopathy
E11.331 – Type 2 diabetes mellitus with moderate non-proliferative diabetic retinopathy with macular edema
E11.339 – Type 2 diabetes mellitus with moderate non-proliferative diabetic retinopathy without macular edema
Type 2 Diabetes, Proliferative Retinopathy
E11.34 – Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy
E11.341 – Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy with macular edema
E11.349 – Type 2 diabetes mellitus with severe non-proliferative diabetic retinopathy without macular edema
E11.35 – Type 2 diabetes mellitus with proliferative diabetic retinopathy
E11.351 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E11.352 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
E11.353 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
E11.354 – Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and hematogenous retinal detachment
E11.355 – Type 2 diabetes mellitus with stable proliferative diabetic retinopathy
E11.359 – Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema
2. Glaucoma:
Damage to the optic nerve due to various eye conditions is known as glaucoma. Major cause of glaucoma is very high pressure in eyes resulting in partial vision loss or blindness, usually affecting both eyes, although one may be more severely affected than the other. Symptoms of glaucoma are blurred vision, severe headache, eye pain, eye redness, patchy blind spots in peripheral or central vision, halos around the eyes and tunnel vision in the advanced stages. Line of treatment is lowering intraocular pressure eye drops (Prostaglandins, beta blockers, Alpha-adrenergic agonists), oral medications, and surgery. Surgical line of treatment is laser therapy, drainage tubes, filtering surgery and minimally invasive glaucoma surgery.
ICD-10 codes for glaucoma are:
H40 – Glaucoma
H40.0 – Glaucoma suspect
H40.1 – Open-angle glaucoma
H40.2 – Primary angle-closure glaucoma
H40.3 – Glaucoma secondary to eye trauma
H40.4 – Glaucoma secondary to eye inflammation
H40.5 – Glaucoma secondary to other eye disorders
H40.6 – Glaucoma secondary to drugs
H40.8 – Other glaucoma
H40.9 – Unspecified glaucoma
H42 – Glaucoma in diseases classified elsewhere
3. Cataract:
Diabetic patients are at more risk to have cataract. Rapid movement in blood sugar levels cause blurry vision in diabetic patients. Repeated swelling causes lens damage ant it became cloudy, resulting in a cataract. Symptoms of cataract are blurred and glared vision. Preferred line of treatment is surgical removal of lens, replacing it with artificial one.
ICD-10 codes for Cataracts are:
H25 – Age-related cataract
H25.0 – Age-related incipient cataract
H25.01 – Cortical age-related cataract
H25.03 – Anterior subcapsular polar age-related cataract
H25.04 – Posterior subcapsular polar age-related cataract
H25.09 – Other age-related incipient cataract
H25.1 – Age-related nuclear cataract
H25.2 – Age-related cataract morgagnian type
H25.8 – Other age-related cataract
H25.9 – Unspecified age-related cataract
H26 – Other cataract
H26.0 – Infantile and juvenile cataract
H26.1 – Traumatic cataract
H26.2 – Complicated cataract
H26.3 – Drug-induced cataract
H26.4 – Secondary cataract
H26.8 – Other specified cataract
H26.9 – Unspecified cataract
H27 – Other disorders of lens
H27.0 – Aphakia
H27.1 – Dislocation of lens
H27.10 – Unspecified dislocation of lens
H27.11 – Subluxation of lens
H27.12 – Anterior dislocation of lens
H27.13 – Posterior dislocation of lens
H27.8 – Other specified disorders of lens
H27.9 – Unspecified disorder of lens