SEP 28, 2017
ICD-10 Code for Visually Significant Cataract
Question: Current documentation only indicates “visually significant cataract.” What would the best ICD-10 code be?
Answer: Request additional documentation to specify the type of cataract the physician saw. Otherwise, use an unspecified code:
- H25.9 Unspecified age-related cataract
- H26.9 Unspecified cataract
Remember, payers may not pay for unspecified diagnoses when you can provide greater specificity.
Learn more about ICD-10 codes in ICD-10 for Ophthalmology: The Complete Reference.
Learn more about complex cataract cases in eLearning: Complete Guide to Documenting and Coding Cataract Surgery and Ophthalmic Coding: Learn to Code Cataract and Anterior Segment.