H52.523
Paresis of accommodation, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Bilateral paresis of accommodation refers to a condition where both eyes experience a weakness in their ability to focus on nearby objects. This condition affects the eye's ability to adjust the shape of the lens, making it difficult for individuals to read or see objects clearly at close distances. It is classified under ICD-10 code H52.523 and can be associated with various underlying causes that impact the eye's focusing mechanism.
Causes & Symptoms
Clinical Causes: Age-related changes (presbyopia) Neurological conditions affecting the nerves controlling eye muscles Eye injuries or trauma Certain medications, especially those with anticholinergic effects Degenerative diseases affecting the nervous system Infections affecting the eye or nervous system Diabetes mellitus impacting nerve function Congenital anomalies present from birth
Key Symptoms: Difficulty focusing on close objects Blurred vision at reading distance Eye strain or discomfort during near tasks Headaches after reading or close work Trouble adjusting focus from distant to near objects Double vision in some cases Frequent need to blink or change focus frequently
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a comprehensive eye examination conducted by an optometrist or ophthalmologist. Tests may include examining the eye's focusing ability, assessing the visual acuity at various distances, and evaluating the coordination of eye muscles. Additional neurological assessments could be necessary if an underlying neurological issue is suspected. Patient history, including the onset and progression of symptoms, also plays a crucial role in diagnosis.
Treatment Protocols: Corrective lenses or reading glasses to improve near vision Vision therapy exercises designed to strengthen eye focusing muscles Addressing underlying medical conditions such as diabetes or neurological disorders Medication adjustments if drug side effects are suspected In some cases, surgical intervention may be considered if structural issues are involved Regular monitoring to assess progression or improvement of the condition
Clinical Advice & FAQs
Billing Guidance
Is H52.523 a billable ICD-10 code?
Yes, H52.523 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H52.523?
Clinical documentation must specify the nature of Paresis of accommodation, bilateral and any associated comorbidities for accurate reporting.
Cite this Clinical Reference