H34.13
Central retinal artery occlusion, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Bilateral central retinal artery occlusion is a rare but serious eye condition characterized by the blockage of the central arteries supplying blood to both retinas in the eyes. This blockage results in sudden, profound vision loss in both eyes. Prompt recognition and understanding of this condition are essential, although it is a medical emergency requiring immediate professional attention.
Causes & Symptoms
Clinical Causes: Emboli originating from the heart or large arteries Atherosclerosis leading to narrowing of the blood vessels Blood clot formation within the arteries Giant cell arteritis (inflammation of blood vessels) Hypercoagulable states where blood clots form more easily Carotid artery disease causing reduced blood flow Systemic conditions such as hypertension or diabetes mellitus that damage blood vessels Trauma causing vascular injury Vasculitis—a condition causing inflammation of blood vessels
Key Symptoms: Sudden and severe loss of vision in both eyes Marked visual impairment, often described as complete or near-complete vision loss Possible accompanying eye pain or discomfort Note: Some individuals may experience a brief period of visual fluctuation before total loss Absence of pain with some cases; visual symptoms typically develop rapidly
Diagnostic & Treatment
Diagnosis Path: Diagnosing bilateral central retinal artery occlusion generally involves a comprehensive eye examination by an ophthalmologist, including:
Treatment Protocols: Treatment options for bilateral central retinal artery occlusion are prompt and aimed at restoring blood flow and preventing further damage. They include:
Clinical Advice & FAQs
Billing Guidance
Is H34.13 a billable ICD-10 code?
Yes, H34.13 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H34.13?
Clinical documentation must specify the nature of Central retinal artery occlusion, bilateral and any associated comorbidities for accurate reporting.
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