Notification



Notification Issue Date:



Policy Attachment


Attachment to Policy # 07.13.08e


Attachment:A

Policy #:07.13.08e

Description:ICD-10 Codes

Title:Partial Coherence Interferometry


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



ICD-10 Codes

E08.36 Diabetes mellitus due to underlying condition with diabetic cataract

E09.36 Drug or chemical induced diabetes mellitus with diabetic cataract

E10.36 Type 1 diabetes mellitus with diabetic cataract

E11.36 Type 2 diabetes mellitus with diabetic cataract

E13.36 Other specified diabetes mellitus with diabetic cataract

H25.011 Cortical age-related cataract, right eye

H25.012 Cortical age-related cataract, left eye

H25.013 Cortical age-related cataract, bilateral

H25.019 Cortical age-related cataract, unspecified eye

H25.031 Anterior subcapsular polar age-related cataract, right eye

H25.032 Anterior subcapsular polar age-related cataract, left eye

H25.033 Anterior subcapsular polar age-related cataract, bilateral

H25.039 Anterior subcapsular polar age-related cataract, unspecified eye

H25.041 Posterior subcapsular polar age-related cataract, right eye

H25.042 Posterior subcapsular polar age-related cataract, left eye

H25.043 Posterior subcapsular polar age-related cataract, bilateral

H25.049 Posterior subcapsular polar age-related cataract, unspecified eye

H25.091 Other age-related incipient cataract, right eye

H25.092 Other age-related incipient cataract, left eye

H25.093 Other age-related incipient cataract, bilateral

H25.099 Other age-related incipient cataract, unspecified eye

H25.10 Age-related nuclear cataract, unspecified eye

H25.11 Age-related nuclear cataract, right eye

H25.12 Age-related nuclear cataract, left eye

H25.13 Age-related nuclear cataract, bilateral

H25.20 Age-related cataract, morgagnian type, unspecified eye

H25.21 Age-related cataract, morgagnian type, right eye

H25.22 Age-related cataract, morgagnian type, left eye

H25.23 Age-related cataract, morgagnian type, bilateral

H25.811 Combined forms of age-related cataract, right eye

H25.812 Combined forms of age-related cataract, left eye

H25.813 Combined forms of age-related cataract, bilateral

H25.819 Combined forms of age-related cataract, unspecified eye

H25.89 Other age-related cataract

H25.9 Unspecified age-related cataract

H26.001 Unspecified infantile and juvenile cataract, right eye

H26.002 Unspecified infantile and juvenile cataract, left eye

H26.003 Unspecified infantile and juvenile cataract, bilateral

H26.009 Unspecified infantile and juvenile cataract, unspecified eye

H26.011 Infantile and juvenile cortical, lamellar, or zonular cataract, right eye

H26.012 Infantile and juvenile cortical, lamellar, or zonular cataract, left eye

H26.013 Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral

H26.019 Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye

H26.031 Infantile and juvenile nuclear cataract, right eye

H26.032 Infantile and juvenile nuclear cataract, left eye

H26.033 Infantile and juvenile nuclear cataract, bilateral

H26.039 Infantile and juvenile nuclear cataract, unspecified eye

H26.041 Anterior subcapsular polar infantile and juvenile cataract, right eye

H26.042 Anterior subcapsular polar infantile and juvenile cataract, left eye

H26.043 Anterior subcapsular polar infantile and juvenile cataract, bilateral

H26.049 Anterior subcapsular polar infantile and juvenile cataract, unspecified eye

H26.051 Posterior subcapsular polar infantile and juvenile cataract, right eye

H26.052 Posterior subcapsular polar infantile and juvenile cataract, left eye

H26.053 Posterior subcapsular polar infantile and juvenile cataract, bilateral

H26.059 Posterior subcapsular polar infantile and juvenile cataract, unspecified eye

H26.061 Combined forms of infantile and juvenile cataract, right eye

H26.062 Combined forms of infantile and juvenile cataract, left eye

H26.063 Combined forms of infantile and juvenile cataract, bilateral

H26.069 Combined forms of infantile and juvenile cataract, unspecified eye

H26.09 Other infantile and juvenile cataract

H26.101 Unspecified traumatic cataract, right eye

H26.102 Unspecified traumatic cataract, left eye

H26.103 Unspecified traumatic cataract, bilateral

H26.109 Unspecified traumatic cataract, unspecified eye

H26.111 Localized traumatic opacities, right eye

H26.112 Localized traumatic opacities, left eye

H26.113 Localized traumatic opacities, bilateral

H26.119 Localized traumatic opacities, unspecified eye

H26.121 Partially resolved traumatic cataract, right eye

H26.122 Partially resolved traumatic cataract, left eye

H26.123 Partially resolved traumatic cataract, bilateral

H26.129 Partially resolved traumatic cataract, unspecified eye

H26.131 Total traumatic cataract, right eye

H26.132 Total traumatic cataract, left eye

H26.133 Total traumatic cataract, bilateral

H26.139 Total traumatic cataract, unspecified eye

H26.20 Unspecified complicated cataract

H26.211 Cataract with neovascularization, right eye

H26.212 Cataract with neovascularization, left eye

H26.213 Cataract with neovascularization, bilateral

H26.219 Cataract with neovascularization, unspecified eye

H26.221 Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye

H26.222 Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye

H26.223 Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral

H26.229 Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eye

H26.231 Glaucomatous flecks (subcapsular), right eye

H26.232 Glaucomatous flecks (subcapsular), left eye

H26.233 Glaucomatous flecks (subcapsular), bilateral

H26.239 Glaucomatous flecks (subcapsular), unspecified eye

H26.30 Drug-induced cataract, unspecified eye

H26.31 Drug-induced cataract, right eye

H26.32 Drug-induced cataract, left eye

H26.33 Drug-induced cataract, bilateral

H26.40 Unspecified secondary cataract

H26.411 Soemmering's ring, right eye

H26.412 Soemmering's ring, left eye

H26.413 Soemmering's ring, bilateral

H26.419 Soemmering's ring, unspecified eye

H26.491 Other secondary cataract, right eye

H26.492 Other secondary cataract, left eye

H26.493 Other secondary cataract, bilateral

H26.499 Other secondary cataract, unspecified eye

H26.8 Other specified cataract

H26.9 Unspecified cataract

H27.00 Aphakia, unspecified eye

H27.01 Aphakia, right eye

H27.02 Aphakia, left eye

H27.03 Aphakia, bilateral

H28 Cataract in diseases classified elsewhere

Q12.0 Congenital cataract

Version Effective Date: 04/23/2018
Version Issued Date: 04/23/2018
Version Reissued Date: N/A

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