ICD-10-CM Billable Code

H35.342

Macular cyst, hole, or pseudohole, left eye

Clinical Classification Guidelines

Medical Intelligence & Overview

The term 'macular cyst, hole, or pseudohole' refers to conditions affecting the central part of the retina, known as the macula, in the left eye. These conditions can impact vision and are important to identify and monitor within eye health. The ICD-10 code H35.342 specifically describes these issues in the left eye, highlighting the importance of precise diagnosis for appropriate management.

Causes & Symptoms

Clinical Causes: Age-related changes leading to thinning and weakening of the macular tissue Retinal tears or detachments that affect the macula Diabetic retinopathy causing fluid accumulation and damage Retinal vein occlusion leading to fluid build-up High myopia or severe nearsightedness Trauma or injury to the eye Certain inflammatory or infectious eye conditions

Key Symptoms: Blurred or distorted central vision Difficulty reading or recognizing faces Dark or empty areas in the central visual field Perception of straight lines appearing bent or crooked Changes in color perception in the affected eye Possible visual fluctuations over time

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination that includes dilated fundus examination to observe the retina. Additional imaging techniques such as optical coherence tomography (OCT) provide detailed cross-sectional images of the macula, helping to identify cysts, holes, or pseudoholes. Fluorescein angiography might also be used to assess blood flow and detect leakage or other abnormalities. Consistent monitoring and detailed imaging are essential for tracking disease progression.

Treatment Protocols: Treatment strategies depend on the specific condition affecting the macula. Interventions 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 H35.342 a billable ICD-10 code?
Yes, H35.342 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H35.342?
Clinical documentation must specify the nature of Macular cyst, hole, or pseudohole, left eye and any associated comorbidities for accurate reporting.

Cite this Clinical Reference