H40.823
Hypersecretion glaucoma, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Hypersecretion glaucoma, bilateral, is a specific form of glaucoma characterized by excessive production of aqueous humor in both eyes, leading to increased intraocular pressure. This condition can damage the optic nerve over time, potentially resulting in vision loss if not properly managed. Recognized under ICD-10 code H40.823, it requires careful monitoring and treatment by eye care professionals to prevent complications.
Causes & Symptoms
Clinical Causes: Overproduction of aqueous humor by the ciliary body Dysfunction of the trabecular meshwork impairing fluid drainage Genetic predisposition affecting aqueous humor dynamics Secondary causes such as inflammation, tumors, or eye trauma
Key Symptoms: Gradual loss of peripheral vision Eye redness or discomfort Headache around the eyes Seeing halos around lights Sudden or progressive increase in intraocular pressure Narrowed visual fields
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive eye examination, including measuring intraocular pressure with tonometry, inspecting the optic nerve via ophthalmoscopy, and assessing visual fields. Additional tests such as ultrasound biomicroscopy or gonioscopy may be used to evaluate eye drainage pathways. Accurate diagnosis helps determine the severity and appropriate management plan.
Treatment Protocols: Treatment strategies focus on lowering intraocular pressure to prevent optic nerve damage. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is H40.823 a billable ICD-10 code?
Yes, H40.823 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H40.823?
Clinical documentation must specify the nature of Hypersecretion glaucoma, bilateral and any associated comorbidities for accurate reporting.
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