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ICD-9 Codes for Optometry


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Accommodation and Refraction Disorders
367.31 Anisometropia
Astigmatism
367.22 Irregular
367.21 Regular
367.20 Inspecified
367.00 Hypermetropia
367.10 Myopia
367.40 Presbyopia
360.21 Progressive high myopia
367.81 Transient refractive change
367.90 Unspecified disorder


Cataracts
After Cataract
366.52 Not obscuring vision
366.53 Obscuring vision
366.50 Unspecified
Congential cataract
743.31 Capsular/subcapsular
743.30 Unspecified
Infantile, juvenile, presenile cataract
366.00 Nonsenile, unspecified
366.04 Nuclear
366.02 Posterior subcapsular polar
Post surgery
V45.61 Cataract extraction status
998.82 Complication caused by fragments of lens in eye
996.53 Mechanical complication due to lens implant
V43.1 Pseudophakos
Senile cataract
366.15 Cortical
366.18 Hypermature
366.12 Incipient
366.16 Nuclear sclerosis
366.19 Other/combined forms
366.17 Total/mature
366.10 Unspecified
Traumatic cataract
366.21 Localized opacities
366.22 Total
366.20 Unspecified


Conjunctiva
Blepharoconjunctivitis
372.21 Angular
372.22 Contact (allergic)
372.20 Unspecified
Conjunctivitis, acute
372.05 Atopic
372.02 Follicular
372.03 Mucopurulent
372.03 Pink eye
372.04 Pseudomembranous
372.01 Serous
372.00 Unspecified
Conjunctivitis, chronic
372.12 Follicular
372.11 Simple
372.10 Unspecified
372.13 Vernal
Conjunctivitis, unspecified
077.30 Adenovirus as source
077.98 Chlamydiae as source
077.80 Other virus as source
372.30 Unspecified source
372.73 Edema
372.72 Hemorrhage
372.71 Hyperemia
372.51 Pinguecula
Pterygium
372.43 Central
372.42 Peripheral, progressive
372.41 Peripheral, stationary
372.45 Recurrent
372.40 Unspecified


Cornea
371.82 Disorder due to contact lens
Edema
371.23 Bullous keratopathy
371.24 Due to contact lens
371.21 Idiopathic
372.22 Secondary
371.20 Unspecified
Keratitis
370.21 Superficial, punctate
370.20 Superficial, unspecified
370.90 Unspecified
Keratoconus
371.61 Stable
371.60 Unspecified
Post surgery
996.51 Graft complication
V42.5 Transplant status
Keratoconjunctivitis
370.34 Exposure
370.33 Sicca (not Sjogren's)
370.40 Unspecified
Ulcer
370.03 Central
370.01 Marginal
370.00 Unspecified


Diabetes
Fifth digit for 250
0 Type II (NIDDM)(adult onset) or unspecified, not stated as uncontrolled
1 Type I (IDDM)(juvenile onset), not stated as uncontrolled
2 Type II (NIDDM) (adult onset) or unspecified, uncontrolled
3 Type I (IDDM) (juvenile onset), uncontrolled
250.0_ Diabetes with ophthalmic manifestations
Code first diabetes, then complications of diabetes
366.41 Cataract
365.44 Glaucoma
364.42 Iridis
362.01 Retinopathy, background
362.02 Retinopathy, proliferative
250.0_ Diabetes without mention of complication


Exam/Screening
V58.3 Attention to surgical dressings/sutures
Examination
V72.0 Eye/vision (use additional code for special screening)
V67.51 Following completed treatment with high-risk medications
V72.84 Pre-operative
V67.0 Post-operative follow-up
Fitting or adjustment
V52.2 Artificial eye
V53.1 Contact lenses
V53.1 Glasses
V65.5 Person with complaint, no diagnosis made
Screening
V80.1 Glaucoma
V80.2 Other conditions (cataracts, lesions, senile macular, congenital anomaly)


Eyelid
Blepharitis
373.01 Ulcerative
373.00 Unspecified
374.34 Blepharochalasis
374.46 Blepharophimosis
333.81 Blepharospasm
373.20 Chalazion
921.10 Contusion
374.84 Cyst (sebaceous)
374.87 Dermatochalasis
374.10 Ectropion, unspecified
374.00 Entropion, unspecificed
Hordeolum
373.11 Externum
373.12 Internum
Open wound
870.10 Full-thickness, not involving lacrimal passages
870.00 Skin
Ptosis
374.30 Acquired, unspecified
374.34 Blepharochalasis
374.30 Blepharoptosis, NOS
743.61 Congenital
374.32 Myogenic
374.31 Paralytic
374.41 Retraction/lag of lid
374.11 Senile ectropion
374.05 Trichiasis without entropion


Glaucoma
Borderline
365.02 Anatomical narrow angle
365.04 Ocular hypertension
365.01 Open angle, borderline findings
365.00 Inspecified
Congenital buphthalmos
743.21 Simple
743.22 With other eye anomalies
Open angle
365.12 Low tension
365.13 Pigmentary
365.11 Primary (chronic)
365.15 Residual
365.10 Unspecified
Primary angle-closure
365.22 Acute
365.23 Chronic
365.24 Residual
365.20 Unspecified
365.52 Pseudoexfoliation glaucoma (code also ass.psuedoexfoliation of capsule, 366.11)
365.60 With unspecified ocular disorder (code also associated disorder)
365.63 With vascular disorder (code also associated disorder)


Herpes
Simplex
054.42 Dentritic keratitis
054.43 Disciform keratitis
054.44 Iridocyclitis
Zoster
053.20 Dermatitis of eyelid
053.22 Iridocyclitis
053.21 Keratoconjunctivitis


History
Drug use
V58.61 Long term (current)use, anticoagulants
V58.69 High risk medications
Family history
V19.0 Blindness/visual loss
V19.1 other eye disorders
Personal history
V14.0 Allergy to penicillin
V45.61 Cataract extraction status
V42.5 Corneal transplant status
V12.49 Disorder of unspecified nervous/sense organ
V10.84 Malignant neoplasm of eye
V45.69 Other postsurgical states
V43.1 Psuedophakos


Injuries
871.30 Avulsion of eyeball
Burn
940.30 Acid, of cornea or conjunctiva
940.20 Alkaline, of cornea or conjunctiva
940.00 Chemical, of eyelid
940.12 First degree
940.22 Second degree
940.32 Third degree
Conjunctiva
918.20 Superficial injury
930.10 Foreign body (FB)
Cornea
918.10 Abrasion or superficial laceration
930.00 Foreign body (FB)
Eyelid
918.00 Abrasion or superficial FB
870.20 Wound, full-thickness, involving lacrimal pasage
870.10 Wound, full-thickness, not involving lacrimal passage
870.00 Wound, skin of eyelid/periocular area
Lacrimal punctum
930.20 Foreign body (FB)
Orbit
921.20 Contusion
870.30 Penetrating wound w/o FB
870.40 Penetrating wound w/ FB
Retina
921.30 Contusion


Iris/Choroid/Ciliary Body
Iridocyclitis, acute
364.01 Primary
364.02 Recurrent
364.03 Secondary, infectious
364.04 Secondary, noninfectious
Iridocyclitis,chronic
364.10 Unspecified
364.41 Hemorrhage (hyphema)
363.21 Pars planitis
364.42 Rubeosis iridis (if due to diabetes, code first 250.5)
364.30 Uveitis (anterior)NOS (code first any glaucoma with ocular inflammation 365.62)


Lacrimal System
Dacryocystitis
375.32 Acute
375.42 Chronic
375.55 Obstruction of duct, neonatal
375.56 Stenosis of duct, acquired
375.15 Tear film insufficiency, unspecified (dry eye syndrome)


Movement Disorders
378.83 Convergence insufficiency or palsy
378.41 Esophoria
Esotropia
378.35 Accommodative
378.05 Alternating
378.01 Monocular
378.42 Exophoria
Exotropia
378.15 Alternating
378.24 Intermittent, alternating
378.11 Monocular
378.10 Unspecified
378.31 Hypertropia
Nerve Palsy
378.53 Fourth/trochlear nerve
378.54 Sixth/abducens nerve
379.50 Nystagmus, unspecified
378.90 Strabismus (ophthalmoplegia) NOS


Neoplasms
Benign
224.60 Choroid
224.30 Conjunctiva
216.10 Eyelid
224.10 Orbit
224.50 Retina
Malignant
190.30 Conjunctiva
190.60 Choroid
173.10 Eyelid
190.10 Orbit
190.50 Retina
Melanoma
172.10 Eyelid


Optic nerve
Atrophy
377.14 Glaucomatous optic disc (cupping)
377.10 Unspecified
Neuritis
377.32 Retrobulbar (acute)
377.30 Unspecified
377.00 Papilledema
Orbit
376.01 Cellulitis
Exophthalmos
376.22 Exophthalmic ophthalmoplegia (code first underlying thyroid disorder 242.0-242.9)
376.21 Thyrotoxic (code first underlying thyroid disorder 242.0-242.9)
996.59 Mechanical complication due to orbit implant


Retina
362.11 Hypertensive retinopathy
362.63 Lattice (palisade) degeneration
Macular Degeneration
362.54 Cyst, hole,or psuedohole
362.57 Drusen (degenerative)
362.52 Exudative senile
362.51 Nonexudative (atrophic)senile
362.56 Puckering
362.55 Toxic (use additional E code to identify drug, if drug induced)
362.50 Unspecified (senile)
Defect
361.32 Horshoe tear, without detachment
361.31 Round hole, without detachment
361.30 Unspecified
Detatchment
361.06 Old, partial, with retinal defect
361.07 Old, total/subtotal
361.03 Partial, giant tear
361.02 Partial, multiple defects
361.01 Partial, single defect
361.05 Recent total/subtotal
361.81 Traction detachment
361.90 Unspecified
361.00 With unspecified defect
Edema
362.01 Diabetic
362.83 Other
362.81 Hemorrhage
362.16 Neovascularization
Retinitis
115.02 Due to Histoplasma capsulatum
115.92 Due to Histoplasmosis NOS
362.74 Pigmentosa
Retinopathy
362.10 Background, unspecified
362.41 Central serous
362.01 Diabetic retinopathy, background (code first diabetes)
362.02 Diabetic proliferative (code first diabetes)
362.21 Retrolental fibroplasia
Vascular Occlusion
362.32 Arterial branch
362.35 Central retinal vein
362.34 Transient arterial
362.30 Unspecified
362.36 Venous tributary (branch)


Underlying Disorders and Signs/Symptoms
Abnormal test result
794.12 Electro-oculogram(EOG)
794.11 Electroretinogram (ERG)
794.14 Oculomotor study
794.13 Visually evoked potential
379.31 Aphakia
351.00 Bell's palsy
078.50 Cytomegalovirus
351.80 Facial nerve disorder (Melkersson's syndrome)
042.00 AIDS (HIV) (code also manifestations)
784.00 Headache
Hypertension
401.10 Benign
348.20 Benign, intracranial
401.90 Unspecified
Migraine
346.00 Classical
346.80 Ophthalmoplegic/hemiplegic
346.90 Unspecified
379.91 Pain in/around the eye
099.30 Reiters disease
Rheumatoid arthritis
714.30 Juvenile rheumatoid arthritis NOS
714.00 Rheumatoid arthritis
135.00 Sarcoidosis
379.00 Scleritis, unspecified (episcleritis)
379.32 Subluxation lens
379.93 Swelling/mass eye
242.00 Toxic diffuse goiter


Visual Disturbances or Blindness
Amblyopia
368.03 Refractive
368.01 Strabismic
368.00 Unspecified
368.20 Diplopia
368.46 Homonymous bilateral field defects (hemianopsia)
369.40 Blindness, legal USA
368.12 Transient visual loss
368.13 Visual discomfort (photophobia, eye strain)
368.40 Visual field defect, unspecified


Vitreous
379.21 Degeneration
379.23 Hemorrhage
379.24 Opacities (floaters)