ICD-10-CM Billable Code

H18.611

Keratoconus, stable, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Keratoconus is a progressive eye condition where the normally round cornea thins and begins to bulge outward into a cone shape. When the condition remains stable, it indicates that the cornea's shape and thickness have not changed significantly over time. The specific ICD-10 code H18.611 pertains to a diagnosis of stable keratoconus in the right eye. Recognizing and understanding this condition is important for those affected to manage the health of their eyes effectively and maintain good vision.

Causes & Symptoms

Clinical Causes: Genetic factors that influence corneal structure Environmental influences such as eye rubbing or allergies Inheritable conditions linked to connective tissue abnormalities Potential associations with systemic diseases like Down syndrome or Marfan syndrome Progressive thinning of the cornea over time

Key Symptoms: Blurry or distorted vision Increased sensitivity to light and glare Frequent changes in eyeglass or contact lens prescriptions Difficulty seeing clearly at night Presence of ghost images or halos around lights Sudden worsening of vision if the condition progresses In some cases, mild eye discomfort or irritation

Diagnostic & Treatment

Diagnosis Path: Keratoconus is typically diagnosed through a comprehensive eye examination. Eye care professionals may use several diagnostic tools, including:

Treatment Protocols: For stable keratoconus, especially in the right eye, treatment options aim to preserve vision and delay progression. Approaches may 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 H18.611 a billable ICD-10 code?
Yes, H18.611 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H18.611?
Clinical documentation must specify the nature of Keratoconus, stable, right eye and any associated comorbidities for accurate reporting.

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