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  • Coding Top 10: ICD-10 Code for Amblyopia Suspect, Laterality with Diabetes Codes


    Coding Top 10, October 2016

    Ask the Academy Coding Experts is an online resource for trusted responses to your coding questions.

    The Academy Coding Experts receive daily questions at coding@aao.org and icd10@aao.org. We are committed to providing accurate responses so that practices are confident in their billing and coding practices.

    October's coding questions highlight ICD-10 coding changes effective Oct. 1 with topics ranging from ICD-10 code for amblyopia suspect, laterality with diabetes codes and correct coding for AMD.

    1. Prediabetes ICD-10 Code
      What code should we use when a patient is not diagnosed with diabetes, but has symptoms?
    2. 7th Final Character for Fractures
      For injury and trauma ICD-10 codes, we often use a seventh final character A, D or S. Are these still appropriate for orbital floor fractures?
    3. Orbital Floor Fracture Laterality and Status
      We have a patient who suffered an open fracture of the orbital floor, right eye. The new ICD-10 code looks like it now requires laterality and status. Is this correct?
    4. ICD-10 Code for Amblyopia Suspect
      Is there an ICD-10 code for a patient suspected of having amblyopia?
    5. Effective Date of ICD-10
      I am confused when ICD-10 codes go into effect, as they are referred to as 2017 ICD-10 codes. Do they go into effect in 2016 or 2017?
    6. Laterality with Diabetes Codes
      Do all diabetes ICD-10 codes require laterality as of Oct. 1, 2016?
    7. Correct Coding for AMD
      We were taught that, whether wet or dry, we should not specify which eye has AMD. Has that changed as of Oct. 1, 2016?
    8. ICD-10 Code for Fuchs’ Dystrophy
      Has laterality been added to Fuchs’ dystrophy?
    9. How to Stage Primary Open-Angle Glaucoma Diagnosis
      We have a patient with secondary glaucoma due to trauma in her left eye and primary open-angle glaucoma in her right eye. Do I stage her glaucoma diagnosis based on her right eye only, or include the left eye since it has a greater visual defect?
    10. ICD-10 Code for Primary Open-Angle Glaucoma
      How do I code for a patient who has primary open-angle glaucoma (POAG)?