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H52.13
ICD-10-CM
Myopia

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

Nearsightedness
Short-sightedness

Diagnosis Snapshot

Key Facts
  • Definition : Nearsightedness: distant objects appear blurry.
  • Clinical Signs : Blurred distance vision, eye strain, headaches.
  • Common Settings : Ophthalmologist or optometrist office, optical shops.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H52.13 Coding
H52.1

Myopia

Nearsightedness, where distant objects appear blurry.

H52.0

Hypermetropia

Farsightedness, where close objects appear blurry.

H52.2

Astigmatism

Imperfectly shaped cornea or lens causing blurred vision.

H52.4

Anisometropia and aniseikonia

Unequal refractive power in both eyes.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Nearsightedness
Astigmatism
Hyperopia

Documentation Best Practices

Documentation Checklist
  • Myopia diagnosis documented
  • Visual acuity with and without correction
  • Refraction details: spherical, cylindrical, axis
  • ICD-10-CM code H52.1 for myopia documented
  • Assessment of myopia progression if applicable

Mitigation Tips

Best Practices
  • Annual eye exams, early myopia control
  • ICD-10-CM H52.1, document refractive error
  • Comprehensive eye health record, HIPAA compliant
  • Axial length measurement, monitor progression
  • Prescribe corrective lenses, low-dose atropine

Clinical Decision Support

Checklist
  • Visual acuity test: Snellen chart or equivalent
  • Refraction assessment: Objective and subjective
  • Axial length measurement: If available
  • Cycloplegic refraction: For children/young adults
  • Diagnosis confirmation: Document myopia severity

Reimbursement and Quality Metrics

Impact Summary
  • Myopia reimbursement: Coding accuracy impacts claim denial rates, affecting revenue cycle management. Proper ICD-10 (H52.1) and CPT coding crucial for maximizing reimbursement.
  • Quality metrics: Myopia diagnosis quality reporting tied to visual acuity screenings, refractive error documentation, and patient follow-up care. Accurate data impacts hospital performance scores.
  • Coding compliance: Accurate myopia diagnosis coding (H52.0-H52.7) ensures compliance, reduces audit risks, and supports appropriate severity level assignment for DRG reimbursement.
  • Hospital reporting: Myopia data affects public health reporting, population health management, and resource allocation. Accurate diagnosis coding vital for data-driven decision-making.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code H52.1 for myopia
  • Add laterality: OD, OS, OU
  • Document refractive error
  • Specify type: simple,degenerative
  • Check for astigmatism: H52.2

Documentation Templates

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).