ICD Coding
212 common ICD-10-CM eye codes
A trailing - means the code needs more characters. Tap the info chip for the completion rule, tap the code to copy.
Open angle with borderline findings, low risk (glaucoma suspect)
Open angle with borderline findings, high risk
Ocular hypertension
Primary angle closure without glaucoma damage (PAC)
Anatomical narrow angle (PAC suspect)
Primary open-angle glaucoma
e.g. H40.1132 = POAG, bilateral, moderate stage
Low-tension (normal-tension) glaucoma
Pigmentary glaucoma
Capsular glaucoma with pseudoexfoliation of lens
Acute angle-closure glaucoma
Chronic angle-closure glaucoma
Glaucoma secondary to eye inflammation
Glaucoma secondary to other eye disorders (e.g. neovascular)
Code the underlying condition first (e.g. CRVO, PDR).
Glaucoma secondary to drugs (steroid-induced)
Add T38.0X5- for adverse effect of glucocorticoids.
Other specified glaucoma
Congenital glaucoma
Family history of glaucoma
Age-related nuclear cataract
Cortical age-related cataract
Posterior subcapsular polar age-related cataract
Anterior subcapsular polar age-related cataract
Combined forms of age-related cataract
Age-related cataract, morgagnian type
Traumatic cataract
Drug-induced cataract
Other secondary cataract (posterior capsule opacification)
Congenital cataract
Aphakia
Subluxation of lens
Displacement of intraocular lens
Cystoid macular edema following cataract surgery
Cataract (lens) fragments in eye following cataract surgery
Type 2 diabetes without complications (no retinopathy)
T2DM with mild NPDR, with (1) / without (9) macular edema
e.g. E11.3293 = mild NPDR without DME, bilateral
T2DM with moderate NPDR, with / without macular edema
T2DM with severe NPDR, with / without macular edema
T2DM with proliferative DR, with / without macular edema
T2DM with PDR and traction retinal detachment involving the macula
T2DM with PDR and traction retinal detachment not involving the macula
T2DM with PDR and combined traction/rhegmatogenous RD
T2DM with stable proliferative diabetic retinopathy
T2DM with diabetic macular edema, resolved following treatment
T2DM with diabetic cataract
Long-term (current) use of insulin
Long-term (current) use of oral hypoglycemic drugs
Nonexudative (dry) age-related macular degeneration
Exudative (wet) age-related macular degeneration
Drusen (degenerative) of macula
Central retinal artery occlusion
Retinal artery branch occlusion
Transient retinal artery occlusion
Central retinal vein occlusion
Tributary (branch) retinal vein occlusion
Retinal detachment with single break
Retinal detachment with multiple breaks
Serous retinal detachment
Horseshoe tear of retina without detachment
Traction detachment of retina
Macular cyst, hole, or pseudohole
Puckering of macula (epiretinal membrane)
Central serous chorioretinopathy
Hypertensive retinopathy
Toxic maculopathy (e.g. hydroxychloroquine)
Add the drug adverse-effect T-code.
Pigmentary retinal dystrophy (retinitis pigmentosa)
Vitreous degeneration (posterior vitreous detachment)
Vitreous hemorrhage
Other vitreous opacities (floaters)
Unspecified purulent endophthalmitis
Retinopathy of prematurity (H35.11- stage 0 … H35.16- stage 5)
Malignant neoplasm of retina (retinoblastoma)
Malignant neoplasm of choroid (choroidal melanoma)
Benign neoplasm of choroid (choroidal nevus)
Central corneal ulcer
Corneal ulcer with hypopyon
Mycotic corneal ulcer
Herpesviral keratitis
Zoster keratitis
Zoster ocular disease, unspecified (HZO)
Punctate keratitis (SPK)
Dry eye syndrome of lacrimal gland
Keratoconjunctivitis sicca, not specified as Sjögren
Sjögren syndrome with keratoconjunctivitis
Exposure keratoconjunctivitis
Neurotrophic keratoconjunctivitis
Keratoconus, stable
Keratoconus, unstable
Endothelial corneal dystrophy (Fuchs)
Bullous keratopathy
Band keratopathy
Recurrent erosion of cornea
Corneal disorder due to contact lens
Central corneal opacity (scar)
Corneal transplant rejection
Corneal transplant failure
Other mucopurulent conjunctivitis (bacterial)
Keratoconjunctivitis due to adenovirus (EKC)
Viral conjunctivitis, unspecified
Acute atopic conjunctivitis
Other chronic allergic conjunctivitis
Vernal conjunctivitis
Gonococcal conjunctivitis
Chlamydial conjunctivitis
Neonatal conjunctivitis and dacryocystitis
Conjunctival hemorrhage
Peripheral pterygium, progressive
Recurrent pterygium
Pinguecula
Episcleritis (H15.10- unspecified, H15.12- nodular)
Scleritis (H15.00- unspecified, H15.02- brawny, H15.04- posterior)
Benign neoplasm of conjunctiva (nevus)
Hordeolum externum (stye)
Hordeolum internum
Chalazion
Unspecified blepharitis
Other acariasis (Demodex) — pair with blepharitis code
Unspecified ptosis of eyelid
Myogenic ptosis of eyelid
Dermatochalasis of eyelid
Senile (involutional) ectropion
Senile (involutional) entropion
Trichiasis without entropion
Xanthelasma of eyelid
Blepharospasm
Periorbital (preseptal) cellulitis
Cellulitis of orbit
Acute dacryocystitis
Acquired stenosis of nasolacrimal duct
Congenital stenosis and stricture of lacrimal duct (CNLDO)
Thyrotoxicosis with diffuse goiter (Graves) — code first for TED
Dysthyroid exophthalmos
Primary iridocyclitis (acute anterior uveitis)
Recurrent acute iridocyclitis
Hypopyon
Chronic iridocyclitis
Posterior cyclitis (pars planitis / intermediate uveitis)
Unspecified focal chorioretinal inflammation
Panuveitis
Toxoplasma chorioretinitis
Sarcoid iridocyclitis
Ankylosing spondylitis of unspecified sites (HLA-B27 association)
Optic papillitis
Retrobulbar neuritis
Unspecified optic neuritis
Ischemic optic neuropathy (NAION / AAION)
Other giant cell arteritis
Giant cell arteritis with polymyalgia rheumatica
Papilledema associated with increased intracranial pressure
Benign intracranial hypertension (IIH)
Primary optic atrophy
Hereditary optic atrophy (incl. Leber)
Third (oculomotor) nerve palsy
Fourth (trochlear) nerve palsy
Sixth (abducent) nerve palsy
Diplopia
Anisocoria
Tonic pupil (Adie)
Horner syndrome
Amaurosis fugax
Sudden visual loss
Homonymous bilateral field defects (1 right side, 2 left side)
Heteronymous bilateral field defects (bitemporal)
Myasthenia gravis without (acute) exacerbation
Bell palsy
Monocular esotropia
Alternating esotropia
Accommodative component in esotropia
Monocular exotropia
Alternating exotropia
Intermittent monocular exotropia
Intermittent alternating exotropia
Vertical strabismus (hypertropia)
Esophoria
Exophoria
Convergence insufficiency
Duane syndrome
Strabismic amblyopia
Refractive (anisometropic) amblyopia
Deprivation amblyopia
Amblyopia suspect
Congenital nystagmus
Coloboma of iris
Absence of iris (aniridia)
Exam following failed vision screening, with abnormal findings
Hypermetropia
Myopia
Regular astigmatism
Irregular astigmatism
Anisometropia
Presbyopia
Visual discomfort (asthenopia, photophobia)
Ocular pain
Color vision deficiencies (H53.53 deuteranomaly, H53.54 protanomaly)
Unspecified visual loss
Injury of conjunctiva and corneal abrasion without foreign body
e.g. S05.01XA = right eye, initial encounter
Foreign body in cornea
Foreign body in conjunctival sac
Hyphema
Contusion of eyeball and orbital tissues
Penetrating wound of eyeball without foreign body
Ocular laceration and rupture with prolapse of intraocular tissue
Fracture of orbital floor (S02.31 right, S02.32 left)
Corrosion (chemical burn) of cornea and conjunctival sac
Burn of cornea and conjunctival sac (thermal)
Presence of intraocular lens (pseudophakia)
Cataract extraction status, right eye
Cataract extraction status, left eye
Corneal transplant status
Presence of spectacles and contact lenses
Encounter for exam of eyes and vision without abnormal findings
Encounter for exam of eyes and vision with abnormal findings
Other long-term (current) drug therapy (e.g. hydroxychloroquine monitoring)
Encounter for fitting and adjustment of spectacles and contact lenses
Reference list for learning and documentation. Always confirm against the current fiscal-year ICD-10-CM tabular list and payer policy before billing.