Find comprehensive information on myopia diagnosis, including clinical documentation, medical coding (ICD-10 H52.1), refractive error, nearsightedness, and best-corrected visual acuity. Learn about myopia management, treatment options, and healthcare resources for patients with nearsightedness. Explore the latest research and guidelines for accurate diagnosis and optimal care for myopia. This resource is designed for healthcare professionals, coders, and individuals seeking information on myopia.
Also known as
Myopia
Nearsightedness, where distant objects appear blurry.
Hypermetropia
Farsightedness, where close objects appear blurry.
Astigmatism
Imperfectly shaped cornea or lens causing blurred vision.
Anisometropia and aniseikonia
Unequal refractive power in both eyes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the myopia unilateral or bilateral?
Unilateral
Right eye affected?
Bilateral
Is there a difference in refractive error between eyes?
When to use each related code
Description |
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Nearsightedness |
Astigmatism |
Hyperopia |
Patient presents with complaints of blurred distance vision, nearsightedness, and difficulty seeing objects far away. Symptoms include eyestrain, headaches, and squinting. Visual acuity testing revealed reduced distance vision in both eyes, improving with the use of a pinhole. Refractive error measured by autorefraction and refined by subjective refraction confirms myopia diagnosis. Cycloplegic refraction was performed to rule out latent hyperopia or accommodative spasm. Axial length measurements were obtained to assess for progression of myopia. Diagnosis of myopia, also known as nearsightedness, was established. The patient was educated on the causes, symptoms, and treatment options for myopia, including corrective lenses (eyeglasses, contact lenses), refractive surgery options like LASIK, PRK, and SMILE, and myopia control strategies such as atropine eye drops and orthokeratology. Treatment plan includes prescription for corrective lenses to improve visual acuity. Patient was advised on regular eye examinations for myopia management, monitoring for progression, and potential complications such as retinal detachment, myopic maculopathy, and glaucoma. Follow-up appointment scheduled for monitoring of myopia progression and assessment of treatment efficacy. ICD-10 code H52.1 (myopia) assigned. CPT codes for services rendered include 92015 (comprehensive ophthalmological exam), 92015 (intermediate ophthalmological exam - if applicable), and relevant refraction codes (92015 if medical necessity is documented, otherwise refractive codes from the 92002-92004 series).