KMK Billing and Coding - Common ICD-9 Codes REFRACTIVE CODES 367.0 367.1 367.21 367.22 367.4 Hyperopia Myopia Regular Astigmatism Irregular Astigmatism Presbyopia VISUAL DISORDERS 368.01 368.03 368.1 368.2 368.4 368.41 368.42 368.43 368.44 368.45 368.46 368.47 368.51 379.5 Amblyopia, strabismic Amblyopia, refractive Subjective visual disturbance Diplopia Visual field defects, unspecified Scotoma, central Scotoma, blind spot Sector or arcuate defects Localized VF defect Generalized VF contraction Homonymous field defect Heteronymous field defect Color vision deficiencies Nystagmus, unspecified EYELIDS O78 O78.19 173.1 216.1 216.3 373.00 373.2 373.11 373.12 373.32 374.01 374.05 374.11 374.30 374.31 374.84 374.87 Molluscum contagiosum Viral warts Malignant eyelid neoplasm Benign eyelid neoplasm Benign facial neoplasm Blepharitis, unspecified Chalazion Hordeolum, external Hordeolum, internal (MGD) Dermatitis of eyelid, contact Entropion, senile Trichiasis Ectropion, senile Ptosis, unspecified Ptosis, paralytic Cyst of eyelid Dermatochalasis 371.11 371.13 371.23 371.42 371.52 371.57 371.6 918.1 930.0 v42.5 Corneal pigmentation, anterior Corneal pigmentation, posterior Bullous keratopathy Recurrent corneal erosion Corneal dystrophy, anterior (ABMD) Corneal dystrophy, posterior (Fuch's) Keratoconus, unspecified Corneal abrasion Corneal foreign body Corneal transplant CATARACT/LENS 366.11 366.14 366.15 366.16 366.52 366.53 379.31 V43.1 Pseudoexfoliation of lens capsule Posterior subcapsular Cortical Nuclear After-cataract, not obscuring vision After-cataract, obscuring vision Aphakia Pseudophakia GLAUCOMA 364.77 Angle recession 365.00 Pre-glaucoma, unspecified 365.01 Glaucoma suspect, 1-2 risk factors 365.02 Anatomical Narrow angle 365.04 Ocular hypertension 365.05 Glaucoma suspect, 3 or more risk factors 365.06 Primary angle closure without damage 365.11 Primary open angle glaucoma 365.13 Pigmentary glaucoma 365.21 Intermediate angle closure glaucoma 365.22 Acute angle closure glaucoma 365.23 Chronic angle closure glaucoma 365.62 Inflammatory glaucoma 365.63 Neovascular glaucoma 365.65 Traumatic glaucoma GLAUCOMA STAGE 365.70 Unspecified 365.71 Mild 365.72 Moderate 365.73 Severe 365.74 Indeterminate CONJUNCTIVA RETINAL DISORDERS O77.1 224.3 372.12 372.14 372.40 372.51 372.72 372.73 372.75 930.1 EKC Neoplasm, conjunctiva, benign Conjunctivitis, chronic, follicular Conjunctivitis, chronic, allergic Pterygium Pinguecula Subconjunctival hemmorrhage Conjunctival edema Conjunctival cysts Foreign body, conjunctival CORNEA O54.42 O54.43 937.21 370.01 370.03 370.21 370.33 370.6 371.02 371.03 Dendritic Keratitis Disciform Keratitis Corneal Edema, idiopathic Corneal ulcer, marginal Corneal ulcer, central Punctate keratitis, superficial Keratoconjunctivitis sicca Corneal neovascularization, unspecified Corneal opacity, peripheral Corneal opacity, central 115.77 190.6 224.6 361.01 361.02 361.12 361.31 361.32 361.81 362.02 362.04 362.05 362.06 362.11 362.31 362.32 362.33 362.34 362.35 362.36 362.41 362.51 Histoplasmosis Malignant neoplasm, choroid Benign neoplasm, choroid RD, recent, partial w/ single defect RD, recent, w/ multiple defects Bullous retinoschisis Round hole of retina w/o detachment Horseshoe tear w/o detachment Tractional detachment of retina Proliferative diabetic retinopathy Non-proliferative diabetic retinopathy, mild Non-proliferative diabetic retinopathy, moderate Non-proliferative diabetic retinopathy, severe Hypertensive retinopathy CRAO BRAO Hollenhorst plaque Amaurosis fugax CRVO BRVO Central serous retinopathy ARMD, non-exudative 362.52 362.53 362.54 362.56 362.57 362.63 362.76 362.81 362.84 362.85 363.32 363.34 363.41 363.43 379.21 379.22 379.23 379.24 ARMD, exudative Cystoid Macular degen Macular hole/cyst/ pseudo Macular pucker Drusen Lattice degeneration Dystrophy of RPE Retinal hemorrhage Retinal ischemia Myelinated nerve bundle Macular scar Peripheral scar Senile choroidal atrophy Angioid streaks Vitreous Degeneration Asteroid hyalosis Vitreous hemorrhage Vitreous floaters UVEAL DISORDERS 364.01 364.02 364.03 364.04 364.05 364.41 364.42 364.53 364.71 364.73 Primary iritis Recurrent iritis Secondary iritis, infectious Secondary iritis, non-infect Hypopyon Hyphema Reubeosis iridis Pigment dispersion, iris Posterior synechia Perpiph anterior synechia LACRIMAL SYSTEM 375.15 375.2 375.32 375.42 375.56 Dry eye syndrome Epiphora, unspecified Dacryocystitis, acute Dacryocystitis, chronic Nasolacrimal obstruction NEURO-OPHTHALMIC 377.00 377.10 377.14 377.15 377.21 377.30 377.32 377.41 378.52 378.53 378.54 Papilledema, unspecified Optic atrophy, unspecified Optic nerve cupping Optic Atrophy, partial Dusen, optic nerve Optic neuritis, unspecified Retrobulbar optic neuritis Ischemic optic neuropathy Third nerve palsy, compl Fourth nerve palsy Sixth nerve palsy MISCELLANEOUS O53.20 O53.21 O53.22 250.00 250.01 250.50 250.51 362.74 379.00 784.00 921.3 921.1 V58.69 HZO, eyelid HZO, keratoconjunctivitis HZO, iritis DM NID w/o ocular man DM ID w/o ocular man DM NID w/ ocular man DM ID w/ ocular man Retinitis pigmentosa Scleritis/episcleritis Headache Eyeball contusion Eyelid contusion Following high risk meds
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