H35.14
Retinopathy of prematurity, stage 3
Clinical Classification Guidelines
Medical Intelligence & Overview
Retinopathy of prematurity (ROP) is a potentially serious eye condition that primarily affects premature infants. Stage 3 ROP is an advanced form where abnormal blood vessels grow on the retina, which can lead to vision impairment or blindness if not monitored and managed appropriately. This condition arises from abnormal development of blood vessels in the retina, the light-sensitive layer at the back of the eye, during early eye growth after premature birth.
Causes & Symptoms
Clinical Causes: Premature birth, especially before 31 weeks of gestation Low birth weight, typically less than 1500 grams (about 3 pounds, 4 ounces) Oxygen therapy administered to premature infants, which can affect normal blood vessel development in the eye Genetic factors that may influence blood vessel growth or response to oxygen levels Overall health and stability of the premature infant's developing organs
Key Symptoms: No noticeable symptoms in early stages Leukocoria, or a white pupillary reflex, which can be seen during eye examination Abnormal eye movements or crossed eyes (strabismus) Poor vision or visual tracking issues observed during follow-up exams Potential signs of visual impairment as the condition progresses
Diagnostic & Treatment
Diagnosis Path: Diagnosis of stage 3 retinopathy of prematurity involves comprehensive eye examinations by a pediatric ophthalmologist. The evaluation includes detailed retinal imaging and indirect ophthalmoscopy, where the doctor examines the retina to identify abnormal blood vessel growth and other pathological changes. The severity and stage of ROP are determined based on the extent of abnormal vessels and their location within the retina.
Treatment Protocols: Treatment strategies focus on preventing progression to more severe stages that could threaten vision. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is H35.14 a billable ICD-10 code?
Yes, H35.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H35.14?
Clinical documentation must specify the nature of Retinopathy of prematurity, stage 3 and any associated comorbidities for accurate reporting.
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