ICD-10-CM Billable Code

H35.463

Secondary vitreoretinal degeneration, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Secondary vitreoretinal degeneration is a condition that affects the vitreous body and the retina in both eyes. The vitreous is the gel-like substance filling the eye, supporting its shape, while the retina is the light-sensitive tissue lining the back of the eye that is crucial for vision. When this degeneration occurs bilaterally, it impacts both eyes, often leading to visual disturbances. This condition is classified under ICD-10 code H35.463 and is considered secondary because it results from another underlying eye pathology or condition.

Causes & Symptoms

Clinical Causes: Previous ocular trauma or injury Inflammatory eye diseases such as uveitis Age-related changes leading to vitreous degeneration High myopia or severe nearsightedness Retinal detachment or tears Infections affecting the eye

Key Symptoms: Floaters – small spots or threads drifting through the field of vision Blurred or distorted vision Reduced visual acuity Light flashes or flickering lights A shadow or curtain effect across the visual field Difficulty seeing in low light conditions

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination by an ophthalmologist. Key components include:

Treatment Protocols: Management of secondary vitreoretinal degeneration depends on the severity and underlying causes. Common approaches 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 H35.463 a billable ICD-10 code?
Yes, H35.463 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H35.463?
Clinical documentation must specify the nature of Secondary vitreoretinal degeneration, bilateral and any associated comorbidities for accurate reporting.

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