ICD-10-CM Billable Code

H40.31

Glaucoma secondary to eye trauma, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Glaucoma secondary to eye trauma is a condition where increased pressure inside the eye results from injury, leading to damage of the optic nerve. When this injury affects the right eye specifically, it is classified under the ICD-10 code H40.31. This form of glaucoma typically develops after an eye injury or trauma, which can cause structural damage or other changes that interfere with normal eye fluid drainage. Over time, the elevated eye pressure can impair vision and may lead to irreversible blindness if not properly managed.

Causes & Symptoms

Clinical Causes: Physical injury to the eye, such as blows, punctures, or blunt trauma Penetrating injuries or blunt trauma that damages eye structures Blood vessels in the eye injury leading to bleeding and swelling Development of scar tissue following an eye injury that impedes fluid drainage Retrobulbar hemorrhage or other post-trauma complications affecting eye pressure

Key Symptoms: Increased intraocular pressure measurements Sudden or gradual loss of vision Appearance of halos or rainbows around lights Eye pain or discomfort Redness and swelling of the affected eye Headache or nausea in some cases Sensitivity to light (photophobia)

Diagnostic & Treatment

Diagnosis Path: Diagnosing glaucoma secondary to eye trauma involves a comprehensive eye examination including measurements of intraocular pressure, assessment of optic nerve health, and visual acuity tests. Additional assessments like gonioscopy, optical coherence tomography (OCT), or visual field testing may be performed to evaluate the extent of optic nerve damage and visual impairment. A detailed history of recent eye injuries assists in establishing the link between trauma and glaucoma development. Imaging studies may also be used to identify structural damage or hemorrhages.

Treatment Protocols: Managing glaucoma secondary to eye trauma aims to lower intraocular pressure and prevent further optic nerve damage. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H40.31 a billable ICD-10 code?
Yes, H40.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H40.31?
Clinical documentation must specify the nature of Glaucoma secondary to eye trauma, right eye and any associated comorbidities for accurate reporting.

Cite this Clinical Reference