A39.82
Meningococcal retrobulbar neuritis
Clinical Classification Guidelines
Medical Intelligence & Overview
Meningococcal retrobulbar neuritis is a rare but serious eye condition resulting from a meningococcal infection that affects the optic nerve behind the eye. This condition can lead to vision problems and requires prompt medical attention. The disease is associated with the bacterial pathogen Neisseria meningitidis, which can cause various serious infections including meningitis. When the infection involves the nerve behind the eye, it is known as retrobulbar neuritis, specifically linked with meningococcal disease in this case.
Causes & Symptoms
Clinical Causes: Infection with Neisseria meningitidis bacteria Spread of meningococcal bacteria from a systemic infection Complications arising from meningococcal meningitis or septicemia
Key Symptoms: Sudden or gradual loss of vision in one or both eyes Eye pain or discomfort, especially behind the eyeball Redness and swelling around the affected eye Decreased visual acuity or blurred vision Color vision changes or desaturation Possible headache and signs of meningeal irritation Photophobia or sensitivity to light
Diagnostic & Treatment
Diagnosis Path: Medical history review focusing on recent meningococcal infection or symptoms Comprehensive eye examination including visual acuity test and fundoscopic exam Visual field testing to assess for visual loss Imaging studies like MRI or CT scan to visualize the optic nerve Laboratory tests such as blood cultures and cerebrospinal fluid analysis to detect Neisseria meningitidis Serologic testing for meningococcal antibodies
Treatment Protocols: Immediate administration of intravenous antibiotics to combat meningococcal bacteria Use of corticosteroids to reduce inflammation and prevent further nerve damage Supportive care including pain management and monitoring of vision changes Follow-up appointments for ophthalmologic and infectious disease specialists In some cases, rehabilitative measures such as vision therapy or corrective lenses may be recommended
Clinical Advice & FAQs
Billing Guidance
Is A39.82 a billable ICD-10 code?
Yes, A39.82 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A39.82?
Clinical documentation must specify the nature of Meningococcal retrobulbar neuritis and any associated comorbidities for accurate reporting.
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