H35.132
Retinopathy of prematurity, stage 2, left eye
Clinical Classification Guidelines
Medical Intelligence & Overview
Retinopathy of prematurity (ROP) is a potentially serious eye disorder that primarily affects premature infants. It involves abnormal development of retinal blood vessels in the eye, which can lead to vision problems or blindness if untreated. Stage 2 ROP signifies a progression where abnormal blood vessels begin to form in the retina but are less severe than later stages. This condition typically affects one or both eyes, and in this case, it is specified in the left eye. Early detection and monitoring are critical in managing ROP effectively and preventing permanent vision loss.
Causes & Symptoms
Clinical Causes: Premature birth before the normal development of retinal blood vessels Low birth weight, especially infants weighing less than 1500 grams Oxygen therapy used during neonatal care, particularly if administered in high concentrations Genetic factors and family history
Key Symptoms: No noticeable symptoms in the early stages Abnormal eye movements Strabismus, or crossed eyes Leukocoria, an unusual whiteness in the pupil seen in some cases Possible signs of vision impairment, such as difficulty focusing In advanced cases, nearsightedness or other refractive errors
Diagnostic & Treatment
Diagnosis Path: Diagnosis of ROP involves a thorough eye examination performed by a pediatric ophthalmologist, often starting a few weeks after birth. The screening includes:
Treatment Protocols: Treatment strategies for ROP aim to halt abnormal blood vessel growth and prevent retinal detachment or other complications. They include:
Clinical Advice & FAQs
Billing Guidance
Is H35.132 a billable ICD-10 code?
Yes, H35.132 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H35.132?
Clinical documentation must specify the nature of Retinopathy of prematurity, stage 2, left eye and any associated comorbidities for accurate reporting.
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