H35.45
Secondary pigmentary degeneration
Clinical Classification Guidelines
Medical Intelligence & Overview
Secondary pigmentary degeneration is a condition that affects the eye, specifically the retina, leading to changes in pigmentation caused by underlying disease or injury. It is often a sign of advanced or ongoing eye problems and can impact vision over time. Recognizing this condition involves understanding its causes, symptoms, how it is diagnosed, and possible management strategies.
Causes & Symptoms
Clinical Causes: Chronic retinal diseases such as age-related macular degeneration Retinal vascular disorders, including diabetic retinopathy Retinal detachment or injury Inflammatory eye conditions affecting the retina Long-standing retinal edema or swelling Genetic disorders affecting retinal pigment cells Prolonged exposure to harmful light or toxins
Key Symptoms: Gradual loss of central or peripheral vision Appearance of dark spots or floaters in the visual field Color vision changes, such as difficulty distinguishing certain shades Blurred or distorted vision Difficulty seeing in low light conditions Visual discomfort or glare sensitivity
Diagnostic & Treatment
Diagnosis Path: Diagnosing secondary pigmentary degeneration involves a comprehensive eye examination, including detailed retinal imaging. The eye care professional may utilize tools such as:
Treatment Protocols: While secondary pigmentary degeneration cannot always be reversed, treatments aim to manage underlying conditions and preserve remaining vision. Approaches may include:
Clinical Advice & FAQs
Billing Guidance
Is H35.45 a billable ICD-10 code?
Yes, H35.45 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H35.45?
Clinical documentation must specify the nature of Secondary pigmentary degeneration and any associated comorbidities for accurate reporting.
Cite this Clinical Reference