Understand lattice degeneration, a peripheral retinal condition. Learn about symptoms, diagnosis, ICD-10 codes (H33.23, H33.29), clinical documentation requirements, and treatment options for lattice retinal degeneration. Find information on retinal specialists, ophthalmology, and vitreoretinal surgery related to lattice degeneration management. Explore resources for healthcare professionals, including diagnostic criteria and coding guidelines for this vitreoretinal disorder.
Also known as
Disorders of vitreous body and globe
Covers various eye disorders including lattice degeneration.
Vitreous hemorrhage and detachment
Includes conditions sometimes associated with lattice degeneration.
Retinal detachments and breaks
Lattice degeneration can predispose to retinal tears and detachments.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the lattice degeneration symptomatic?
Yes
Is there a retinal tear?
No
Is there a retinal tear?
When to use each related code
| Description |
|---|
| Lattice degeneration of retina |
| Retinal tear |
| Retinal detachment |
Coding Lattice Degeneration without specifying which eye (right, left, or bilateral) leads to claim rejections and inaccurate data.
Missing documentation of associated retinal tears with Lattice Degeneration can cause lost revenue opportunities and undercoding.
Incorrectly coding Degenerative Myopia as Lattice Degeneration leads to inaccurate reporting and potential compliance issues.
Q: What are the most effective peripheral retinal examination techniques for detecting lattice degeneration in asymptomatic patients with high myopia?
A: In asymptomatic patients with high myopia, meticulous peripheral retinal examination is crucial for detecting lattice degeneration. While indirect ophthalmoscopy with scleral indentation remains the gold standard, consider implementing wide-field imaging techniques such as ultra-widefield fundus photography and optical coherence tomography angiography (OCT-A) to enhance visualization and documentation of subtle lesions. These techniques can help identify characteristic features like atrophic retinal holes, white lines, and vitreous traction. Explore how combining multiple imaging modalities can improve diagnostic accuracy and facilitate early intervention in high-risk individuals. This approach allows for comprehensive assessment and better risk stratification for potential retinal complications.
Q: How do I differentiate between symptomatic and asymptomatic lattice degeneration clinically, and when is prophylactic treatment warranted for asymptomatic lattice?
A: Differentiating between symptomatic and asymptomatic lattice degeneration requires a thorough clinical evaluation, including detailed patient history, visual acuity assessment, and dilated fundus examination. Symptomatic lattice may present with flashes, floaters, or visual field defects, potentially indicating a retinal tear or detachment. Asymptomatic lattice is typically discovered incidentally during routine eye examinations. Prophylactic treatment for asymptomatic lattice degeneration remains controversial. Current guidelines generally recommend observation unless specific risk factors are present, such as the presence of retinal tears, extensive lattice, or a history of retinal detachment in the fellow eye. Learn more about the latest evidence-based recommendations for managing asymptomatic lattice degeneration and the role of prophylactic laser photocoagulation or cryotherapy in reducing the risk of future retinal detachment. Consider implementing a personalized risk assessment strategy based on individual patient characteristics and clinical findings.
Patient presents with symptoms consistent with lattice degeneration, including flashes, floaters, or blurred vision. Examination reveals peripheral retinal thinning characterized by lattice-like atrophic areas with sclerosed retinal vessels in the affected eye. These areas of retinal atrophy are located in the equatorial or peripheral retina. No retinal tears or detachments are observed at this time. Symptoms and findings are consistent with the diagnostic criteria for lattice retinal degeneration. Patient education regarding the increased risk of retinal detachment associated with lattice degeneration was provided, including the importance of recognizing warning signs such as a sudden increase in floaters or flashes of light. The patient understands the importance of regular ophthalmologic follow-up for monitoring of retinal status. Current management plan includes observation with dilated fundus examination at specified intervals. Differential diagnosis includes other peripheral retinal degenerations such as snail track degeneration and pavingstone degeneration. ICD-10 code G21.87, other specified disorders of retina, is appropriate for this diagnosis. CPT code 92250, ophthalmoscopy, may be used for billing purposes for the dilated fundus examination. Prognosis is generally good with regular monitoring, but patient was counseled on the importance of prompt evaluation if new symptoms develop.