ICD-10-CM Billable Code

H35.459

Secondary pigmentary degeneration, unspecified eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Secondary pigmentary degeneration of the eye is a condition characterized by the abnormal accumulation of pigment within the eye tissues, often as a result of another underlying eye disorder or injury. This condition can affect various parts of the eye, including the retina and other structures, leading to visual disturbances. It is classified under ICD-10 code H35.459, indicating a diagnosis of pigmentary degeneration that is secondary to another eye problem, with unspecified specifics.

Causes & Symptoms

Clinical Causes: Chronic eye diseases such as retinitis pigmentosa or other degenerative retinal disorders Previous eye injuries or trauma Long-standing inflammation inside the eye (uveitis) Underlying vascular conditions affecting eye tissues Certain inherited eye conditions that predispose to pigmentary changes Complications following eye surgeries Prolonged use of medications that impact eye pigmentation

Key Symptoms: Gradual loss of peripheral vision Night blindness or difficulty seeing in low light Dark spots or shadows in the visual field Color vision changes, often dulling or fading Visual acuity decline over time Possible discomfort or eye strain In some cases, no noticeable symptoms until vision loss progresses

Diagnostic & Treatment

Diagnosis Path: Diagnosing secondary pigmentary degeneration involves a comprehensive eye examination by an eye care professional, including detailed medical history and visual acuity testing. Diagnostic tools may include:

Treatment Protocols: There is currently no cure for pigmentary degeneration of the eye. Management focuses on monitoring disease progression and addressing symptoms to preserve vision as much as possible. Treatment strategies include:

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 H35.459 a billable ICD-10 code?
Yes, H35.459 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H35.459?
Clinical documentation must specify the nature of Secondary pigmentary degeneration, unspecified eye and any associated comorbidities for accurate reporting.

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