ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| MDC 02 Diseases and disorders of the eye |
| Assignment of Diagnosis Codes |
| Page 8 of 8 |
| A1850 E133521 H04141 H15821 H21322 H35019 H4063X0 H53031 |
| H53031 | Strabismic amblyopia, right eye |
| H53032 | Strabismic amblyopia, left eye |
| H53033 | Strabismic amblyopia, bilateral |
| H53039 | Strabismic amblyopia, unspecified eye |
| H53041 | Amblyopia suspect, right eye |
| H53042 | Amblyopia suspect, left eye |
| H53043 | Amblyopia suspect, bilateral |
| H53049 | Amblyopia suspect, unspecified eye |
| H5310 | Unspecified subjective visual disturbances |
| H5311 | Day blindness |
| H53121 | Transient visual loss, right eye |
| H53122 | Transient visual loss, left eye |
| H53123 | Transient visual loss, bilateral |
| H53129 | Transient visual loss, unspecified eye |
| H53131 | Sudden visual loss, right eye |
| H53132 | Sudden visual loss, left eye |
| H53133 | Sudden visual loss, bilateral |
| H53139 | Sudden visual loss, unspecified eye |
| H53141 | Visual discomfort, right eye |
| H53142 | Visual discomfort, left eye |
| H53143 | Visual discomfort, bilateral |
| H53149 | Visual discomfort, unspecified |
| H5315 | Visual distortions of shape and size |
| H5316 | Psychophysical visual disturbances |
| H5319 | Other subjective visual disturbances |
| H532 | Diplopia |
| H5330 | Unspecified disorder of binocular vision |
| H5331 | Abnormal retinal correspondence |
| H5332 | Fusion with defective stereopsis |
| H5333 | Simultaneous visual perception without fusion |
| H5334 | Suppression of binocular vision |
| H5340 | Unspecified visual field defects |
| H53411 | Scotoma involving central area, right eye |
| H53412 | Scotoma involving central area, left eye |
| H53413 | Scotoma involving central area, bilateral |
| H53419 | Scotoma involving central area, unspecified eye |
| H53421 | Scotoma of blind spot area, right eye |
| H53422 | Scotoma of blind spot area, left eye |
| H53423 | Scotoma of blind spot area, bilateral |
| H53429 | Scotoma of blind spot area, unspecified eye |
| H53431 | Sector or arcuate defects, right eye |
| H53432 | Sector or arcuate defects, left eye |
| H53433 | Sector or arcuate defects, bilateral |
| H53439 | Sector or arcuate defects, unspecified eye |
| H53451 | Other localized visual field defect, right eye |
| H53452 | Other localized visual field defect, left eye |
| H53453 | Other localized visual field defect, bilateral |
| H53459 | Other localized visual field defect, unspecified eye |
| H53461 | Homonymous bilateral field defects, right side |
| H53462 | Homonymous bilateral field defects, left side |
| H53469 | Homonymous bilateral field defects, unspecified side |
| H5347 | Heteronymous bilateral field defects |
| H53481 | Generalized contraction of visual field, right eye |
| H53482 | Generalized contraction of visual field, left eye |
| H53483 | Generalized contraction of visual field, bilateral |
| H53489 | Generalized contraction of visual field, unspecified eye |
| H5350 | Unspecified color vision deficiencies |
| H5351 | Achromatopsia |
| H5352 | Acquired color vision deficiency |
| H5353 | Deuteranomaly |
| H5354 | Protanomaly |
| H5355 | Tritanomaly |
| H5359 | Other color vision deficiencies |
| H5360 | Unspecified night blindness |
| H5361 | Abnormal dark adaptation curve |
| H5362 | Acquired night blindness |
| H5363 | Congenital night blindness |
| H5369 | Other night blindness |
| H5371 | Glare sensitivity |
| H5372 | Impaired contrast sensitivity |
| H538 | Other visual disturbances |
| H539 | Unspecified visual disturbance |
| H540X33 | Blindness right eye category 3, blindness left eye category 3 |
| H540X34 | Blindness right eye category 3, blindness left eye category 4 |
| H540X35 | Blindness right eye category 3, blindness left eye category 5 |
| H540X43 | Blindness right eye category 4, blindness left eye category 3 |
| H540X44 | Blindness right eye category 4, blindness left eye category 4 |
| H540X45 | Blindness right eye category 4, blindness left eye category 5 |
| H540X53 | Blindness right eye category 5, blindness left eye category 3 |
| H540X54 | Blindness right eye category 5, blindness left eye category 4 |
| H540X55 | Blindness right eye category 5, blindness left eye category 5 |
| H5410 | Blindness, one eye, low vision other eye, unspecified eyes |
| H541131 | Blindness right eye category 3, low vision left eye category 1 |
| H541132 | Blindness right eye category 3, low vision left eye category 2 |
| H541141 | Blindness right eye category 4, low vision left eye category 1 |
| H541142 | Blindness right eye category 4, low vision left eye category 2 |
| H541151 | Blindness right eye category 5, low vision left eye category 1 |
| H541152 | Blindness right eye category 5, low vision left eye category 2 |
| H541213 | Low vision right eye category 1, blindness left eye category 3 |
| H541214 | Low vision right eye category 1, blindness left eye category 4 |
| H541215 | Low vision right eye category 1, blindness left eye category 5 |
| H541223 | Low vision right eye category 2, blindness left eye category 3 |
| H541224 | Low vision right eye category 2, blindness left eye category 4 |
| H541225 | Low vision right eye category 2, blindness left eye category 5 |
| H542X11 | Low vision right eye category 1, low vision left eye category 1 |
| H542X12 | Low vision right eye category 1, low vision left eye category 2 |
| H542X21 | Low vision right eye category 2, low vision left eye category 1 |
| H542X22 | Low vision right eye category 2, low vision left eye category 2 |
| H543 | Unqualified visual loss, both eyes |
| H5440 | Blindness, one eye, unspecified eye |
| H54413A | Blindness right eye category 3, normal vision left eye |
| H54414A | Blindness right eye category 4, normal vision left eye |
| H54415A | Blindness right eye category 5, normal vision left eye |
| H5442A3 | Blindness left eye category 3, normal vision right eye |
| H5442A4 | Blindness left eye category 4, normal vision right eye |
| H5442A5 | Blindness left eye category 5, normal vision right eye |
| H5450 | Low vision, one eye, unspecified eye |
| H54511A | Low vision right eye category 1, normal vision left eye |
| H54512A | Low vision right eye category 2, normal vision left eye |
| H5452A1 | Low vision left eye category 1, normal vision right eye |
| H5452A2 | Low vision left eye category 2, normal vision right eye |
| H5460 | Unqualified visual loss, one eye, unspecified |
| H5461 | Unqualified visual loss, right eye, normal vision left eye |
| H5462 | Unqualified visual loss, left eye, normal vision right eye |
| H547 | Unspecified visual loss |
| H548 | Legal blindness, as defined in USA |
| H5500 | Unspecified nystagmus |
| H5501 | Congenital nystagmus |
| H5502 | Latent nystagmus |
| H5503 | Visual deprivation nystagmus |
| H5504 | Dissociated nystagmus |
| H5509 | Other forms of nystagmus |
| H5581 | Deficient saccadic eye movements |
| H5582 | Deficient smooth pursuit eye movements |
| H5589 | Other irregular eye movements |
| H5700 | Unspecified anomaly of pupillary function |
| H5702 | Anisocoria |
| H5703 | Miosis |
| H5704 | Mydriasis |
| H57051 | Tonic pupil, right eye |
| H57052 | Tonic pupil, left eye |
| H57053 | Tonic pupil, bilateral |
| H57059 | Tonic pupil, unspecified eye |
| H5709 | Other anomalies of pupillary function |
| H5710 | Ocular pain, unspecified eye |
| H5711 | Ocular pain, right eye |
| H5712 | Ocular pain, left eye |
| H5713 | Ocular pain, bilateral |
| H57811 | Brow ptosis, right |
| H57812 | Brow ptosis, left |
| H57813 | Brow ptosis, bilateral |
| H57819 | Brow ptosis, unspecified |
| H5789 | Other specified disorders of eye and adnexa |
| H579 | Unspecified disorder of eye and adnexa |
| H59021 | Cataract (lens) fragments in eye following cataract surgery, right eye |
| H59022 | Cataract (lens) fragments in eye following cataract surgery, left eye |
| H59023 | Cataract (lens) fragments in eye following cataract surgery, bilateral |
| H59029 | Cataract (lens) fragments in eye following cataract surgery, unspecified eye |
| H5940 | Inflammation (infection) of postprocedural bleb, unspecified |
| H5941 | Inflammation (infection) of postprocedural bleb, stage 1 |
| H5942 | Inflammation (infection) of postprocedural bleb, stage 2 |
| H5943 | Inflammation (infection) of postprocedural bleb, stage 3 |
| Q100 | Congenital ptosis |
| Q101 | Congenital ectropion |
| Q102 | Congenital entropion |
| Q103 | Other congenital malformations of eyelid |
| Q104 | Absence and agenesis of lacrimal apparatus |
| Q105 | Congenital stenosis and stricture of lacrimal duct |
| Q106 | Other congenital malformations of lacrimal apparatus |
| Q107 | Congenital malformation of orbit |
| Q110 | Cystic eyeball |
| Q111 | Other anophthalmos |
| Q112 | Microphthalmos |
| Q113 | Macrophthalmos |
| Q120 | Congenital cataract |
| Q121 | Congenital displaced lens |
| Q122 | Coloboma of lens |
| Q123 | Congenital aphakia |
| Q124 | Spherophakia |
| Q128 | Other congenital lens malformations |
| Q129 | Congenital lens malformation, unspecified |
| Q130 | Coloboma of iris |
| Q131 | Absence of iris |
| Q132 | Other congenital malformations of iris |
| Q133 | Congenital corneal opacity |
| Q134 | Other congenital corneal malformations |
| Q135 | Blue sclera |
| Q1381 | Rieger's anomaly |
| Q1389 | Other congenital malformations of anterior segment of eye |
| Q139 | Congenital malformation of anterior segment of eye, unspecified |
| Q140 | Congenital malformation of vitreous humor |
| Q141 | Congenital malformation of retina |
| Q142 | Congenital malformation of optic disc |
| Q143 | Congenital malformation of choroid |
| Q148 | Other congenital malformations of posterior segment of eye |
| Q149 | Congenital malformation of posterior segment of eye, unspecified |
| Q150 | Congenital glaucoma |
| Q158 | Other specified congenital malformations of eye |
| Q159 | Congenital malformation of eye, unspecified |
| R441 | Visual hallucinations |
| R483 | Visual agnosia |
| R94110 | Abnormal electro-oculogram [EOG] |
| R94111 | Abnormal electroretinogram [ERG] |
| R94112 | Abnormal visually evoked potential [VEP] |
| R94113 | Abnormal oculomotor study |
| S0010XA | Contusion of unspecified eyelid and periocular area, initial encounter |
| S0011XA | Contusion of right eyelid and periocular area, initial encounter |
| S0012XA | Contusion of left eyelid and periocular area, initial encounter |
| S00201A | Unspecified superficial injury of right eyelid and periocular area, initial encounter |
| S00202A | Unspecified superficial injury of left eyelid and periocular area, initial encounter |
| S00209A | Unspecified superficial injury of unspecified eyelid and periocular area, initial encounter |
| S00211A | Abrasion of right eyelid and periocular area, initial encounter |
| S00212A | Abrasion of left eyelid and periocular area, initial encounter |
| S00219A | Abrasion of unspecified eyelid and periocular area, initial encounter |
| S00221A | Blister (nonthermal) of right eyelid and periocular area, initial encounter |
| S00222A | Blister (nonthermal) of left eyelid and periocular area, initial encounter |
| S00229A | Blister (nonthermal) of unspecified eyelid and periocular area, initial encounter |
| S00241A | External constriction of right eyelid and periocular area, initial encounter |
| S00242A | External constriction of left eyelid and periocular area, initial encounter |
| S00249A | External constriction of unspecified eyelid and periocular area, initial encounter |
| S00251A | Superficial foreign body of right eyelid and periocular area, initial encounter |
| S00252A | Superficial foreign body of left eyelid and periocular area, initial encounter |
| S00259A | Superficial foreign body of unspecified eyelid and periocular area, initial encounter |
| S00261A | Insect bite (nonvenomous) of right eyelid and periocular area, initial encounter |
| S00262A | Insect bite (nonvenomous) of left eyelid and periocular area, initial encounter |
| S00269A | Insect bite (nonvenomous) of unspecified eyelid and periocular area, initial encounter |
| S00271A | Other superficial bite of right eyelid and periocular area, initial encounter |
| S00272A | Other superficial bite of left eyelid and periocular area, initial encounter |
| S00279A | Other superficial bite of unspecified eyelid and periocular area, initial encounter |
| S01101A | Unspecified open wound of right eyelid and periocular area, initial encounter |
| S01102A | Unspecified open wound of left eyelid and periocular area, initial encounter |
| S01109A | Unspecified open wound of unspecified eyelid and periocular area, initial encounter |
| S01111A | Laceration without foreign body of right eyelid and periocular area, initial encounter |
| S01112A | Laceration without foreign body of left eyelid and periocular area, initial encounter |
| S01119A | Laceration without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01121A | Laceration with foreign body of right eyelid and periocular area, initial encounter |
| S01122A | Laceration with foreign body of left eyelid and periocular area, initial encounter |
| S01129A | Laceration with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01131A | Puncture wound without foreign body of right eyelid and periocular area, initial encounter |
| S01132A | Puncture wound without foreign body of left eyelid and periocular area, initial encounter |
| S01139A | Puncture wound without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01141A | Puncture wound with foreign body of right eyelid and periocular area, initial encounter |
| S01142A | Puncture wound with foreign body of left eyelid and periocular area, initial encounter |
| S01149A | Puncture wound with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01151A | Open bite of right eyelid and periocular area, initial encounter |
| S01152A | Open bite of left eyelid and periocular area, initial encounter |
| S01159A | Open bite of unspecified eyelid and periocular area, initial encounter |
| S0230XA | Fracture of orbital floor, unspecified side, initial encounter for closed fracture |
| S0230XB | Fracture of orbital floor, unspecified side, initial encounter for open fracture |
| S0231XA | Fracture of orbital floor, right side, initial encounter for closed fracture |
| S0231XB | Fracture of orbital floor, right side, initial encounter for open fracture |
| S0232XA | Fracture of orbital floor, left side, initial encounter for closed fracture |
| S0232XB | Fracture of orbital floor, left side, initial encounter for open fracture |
| S04011A | Injury of optic nerve, right eye, initial encounter |
| S04012A | Injury of optic nerve, left eye, initial encounter |
| S04019A | Injury of optic nerve, unspecified eye, initial encounter |
| S0500XA | Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounter |
| S0501XA | Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter |
| S0502XA | Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter |
| S0510XA | Contusion of eyeball and orbital tissues, unspecified eye, initial encounter |
| S0511XA | Contusion of eyeball and orbital tissues, right eye, initial encounter |
| S0512XA | Contusion of eyeball and orbital tissues, left eye, initial encounter |
| S0520XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter |
| S0521XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter |
| S0522XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter |
| S0530XA | Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter |
| S0531XA | Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter |
| S0532XA | Ocular laceration without prolapse or loss of intraocular tissue, left eye, initial encounter |
| S0540XA | Penetrating wound of orbit with or without foreign body, unspecified eye, initial encounter |
| S0541XA | Penetrating wound of orbit with or without foreign body, right eye, initial encounter |
| S0542XA | Penetrating wound of orbit with or without foreign body, left eye, initial encounter |
| S0550XA | Penetrating wound with foreign body of unspecified eyeball, initial encounter |
| S0551XA | Penetrating wound with foreign body of right eyeball, initial encounter |
| S0552XA | Penetrating wound with foreign body of left eyeball, initial encounter |
| S0560XA | Penetrating wound without foreign body of unspecified eyeball, initial encounter |
| S0561XA | Penetrating wound without foreign body of right eyeball, initial encounter |
| S0562XA | Penetrating wound without foreign body of left eyeball, initial encounter |
| S0570XA | Avulsion of unspecified eye, initial encounter |
| S0571XA | Avulsion of right eye, initial encounter |
| S0572XA | Avulsion of left eye, initial encounter |
| S058X1A | Other injuries of right eye and orbit, initial encounter |
| S058X2A | Other injuries of left eye and orbit, initial encounter |
| S058X9A | Other injuries of unspecified eye and orbit, initial encounter |
| S0590XA | Unspecified injury of unspecified eye and orbit, initial encounter |
| S0591XA | Unspecified injury of right eye and orbit, initial encounter |
| S0592XA | Unspecified injury of left eye and orbit, initial encounter |
| T1500XA | Foreign body in cornea, unspecified eye, initial encounter |
| T1501XA | Foreign body in cornea, right eye, initial encounter |
| T1502XA | Foreign body in cornea, left eye, initial encounter |
| T1510XA | Foreign body in conjunctival sac, unspecified eye, initial encounter |
| T1511XA | Foreign body in conjunctival sac, right eye, initial encounter |
| T1512XA | Foreign body in conjunctival sac, left eye, initial encounter |
| T1580XA | Foreign body in other and multiple parts of external eye, unspecified eye, initial encounter |
| T1581XA | Foreign body in other and multiple parts of external eye, right eye, initial encounter |
| T1582XA | Foreign body in other and multiple parts of external eye, left eye, initial encounter |
| T1590XA | Foreign body on external eye, part unspecified, unspecified eye, initial encounter |
| T1591XA | Foreign body on external eye, part unspecified, right eye, initial encounter |
| T1592XA | Foreign body on external eye, part unspecified, left eye, initial encounter |
| T2600XA | Burn of unspecified eyelid and periocular area, initial encounter |
| T2601XA | Burn of right eyelid and periocular area, initial encounter |
| T2602XA | Burn of left eyelid and periocular area, initial encounter |
| T2610XA | Burn of cornea and conjunctival sac, unspecified eye, initial encounter |
| T2611XA | Burn of cornea and conjunctival sac, right eye, initial encounter |
| T2612XA | Burn of cornea and conjunctival sac, left eye, initial encounter |
| T2620XA | Burn with resulting rupture and destruction of unspecified eyeball, initial encounter |
| T2621XA | Burn with resulting rupture and destruction of right eyeball, initial encounter |
| T2622XA | Burn with resulting rupture and destruction of left eyeball, initial encounter |
| T2630XA | Burns of other specified parts of unspecified eye and adnexa, initial encounter |
| T2631XA | Burns of other specified parts of right eye and adnexa, initial encounter |
| T2632XA | Burns of other specified parts of left eye and adnexa, initial encounter |
| T2640XA | Burn of unspecified eye and adnexa, part unspecified, initial encounter |
| T2641XA | Burn of right eye and adnexa, part unspecified, initial encounter |
| T2642XA | Burn of left eye and adnexa, part unspecified, initial encounter |
| T2650XA | Corrosion of unspecified eyelid and periocular area, initial encounter |
| T2651XA | Corrosion of right eyelid and periocular area, initial encounter |
| T2652XA | Corrosion of left eyelid and periocular area, initial encounter |
| T2660XA | Corrosion of cornea and conjunctival sac, unspecified eye, initial encounter |
| T2661XA | Corrosion of cornea and conjunctival sac, right eye, initial encounter |
| T2662XA | Corrosion of cornea and conjunctival sac, left eye, initial encounter |
| T2670XA | Corrosion with resulting rupture and destruction of unspecified eyeball, initial encounter |
| T2671XA | Corrosion with resulting rupture and destruction of right eyeball, initial encounter |
| T2672XA | Corrosion with resulting rupture and destruction of left eyeball, initial encounter |
| T2680XA | Corrosions of other specified parts of unspecified eye and adnexa, initial encounter |
| T2681XA | Corrosions of other specified parts of right eye and adnexa, initial encounter |
| T2682XA | Corrosions of other specified parts of left eye and adnexa, initial encounter |
| T2690XA | Corrosion of unspecified eye and adnexa, part unspecified, initial encounter |
| T2691XA | Corrosion of right eye and adnexa, part unspecified, initial encounter |
| T2692XA | Corrosion of left eye and adnexa, part unspecified, initial encounter |
| T8521XA | Breakdown (mechanical) of intraocular lens, initial encounter |
| T8522XA | Displacement of intraocular lens, initial encounter |
| T8529XA | Other mechanical complication of intraocular lens, initial encounter |
| T85318A | Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounter |
| T85328A | Displacement of other ocular prosthetic devices, implants and grafts, initial encounter |
| T85398A | Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter |
| T868401 | Corneal transplant rejection, right eye |
| T868402 | Corneal transplant rejection, left eye |
| T868403 | Corneal transplant rejection, bilateral |
| T868409 | Corneal transplant rejection, unspecified eye |
| T868411 | Corneal transplant failure, right eye |
| T868412 | Corneal transplant failure, left eye |
| T868413 | Corneal transplant failure, bilateral |
| T868419 | Corneal transplant failure, unspecified eye |
| Z9001 | Acquired absence of eye |
| Z947 | Corneal transplant status |
| Z961 | Presence of intraocular lens |
| Z970 | Presence of artificial eye |
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