H40.223
Chronic angle-closure glaucoma, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Chronic bilateral angle-closure glaucoma is a condition characterized by increased pressure within both eyes due to the narrowing or closure of the drainage angles. Over time, this elevated pressure can damage the optic nerve, leading to vision loss if left untreated. Unlike acute glaucoma attacks, the chronic form develops gradually and may initially have subtle symptoms, making early diagnosis essential for preserving eyesight.
Causes & Symptoms
Clinical Causes: Anatomical features: shrunken or crowded anterior chamber angles Age-related changes: increased lens thickness and eye structural alterations with aging Genetic predisposition: family history of glaucoma Other eye conditions: previous eye injuries or inflammations Eye surgeries or procedures that alter eye anatomy
Key Symptoms: Gradual peripheral vision loss, often unnoticed initially Difficulty adapting to darkness or low-light environments Halos around lights Persistent eye redness or discomfort in some cases Mild eye ache or pressure sensations
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a comprehensive eye examination, including:
Treatment Protocols: Management aims to reduce intraocular pressure and prevent optic nerve damage, often including:
Clinical Advice & FAQs
Billing Guidance
Is H40.223 a billable ICD-10 code?
Yes, H40.223 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H40.223?
Clinical documentation must specify the nature of Chronic angle-closure glaucoma, bilateral and any associated comorbidities for accurate reporting.
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