ICD-10-CM Billable Code

H52.11

Myopia, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Myopia, commonly known as nearsightedness, is a common eye condition where distant objects appear blurry while close objects are seen clearly. The specific code H52.11 refers to myopia affecting the right eye. This condition occurs when the eye's shape causes light to focus in front of the retina instead of directly on it, resulting in blurry vision for distant objects. Myopia can develop gradually or appear suddenly and can vary in severity.

Causes & Symptoms

Clinical Causes: Genetic factors: A family history of myopia increases risk. Environmental factors: Prolonged near work such as reading, writing, or screen time can contribute. Eye elongation: An increase in the eye's axial length can cause myopia. Lack of outdoor activities: Limited exposure to natural light during childhood may influence development.

Key Symptoms: Blurry vision when looking at distant objects. Difficulty seeing details at a distance. Eye strain or headaches after visual tasks. Needing to squint to see distant objects clearly. Eyes feeling tired or sore after visual activity.

Diagnostic & Treatment

Diagnosis Path: An eye care professional conducts a comprehensive eye exam, which includes a visual acuity test to measure clarity of vision and a refraction assessment to determine the degree of myopia. Additional tests may be performed to rule out other visual conditions or eye health issues.

Treatment Protocols: While myopia cannot be cured, several options can correct vision and slow progression:

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 H52.11 a billable ICD-10 code?
Yes, H52.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H52.11?
Clinical documentation must specify the nature of Myopia, right eye and any associated comorbidities for accurate reporting.

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