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What is the icd-10-cm code for bilateral nuclear sclerosis cataracts?

What is the ICD-10-CM Code for Bilateral Nuclear Sclerosis Cataracts?

Introduction

Cataracts are a leading cause of vision loss worldwide, and nuclear sclerosis is a common type of cataract that affects millions of people. Bilateral nuclear sclerosis cataracts are a specific type of cataract that occurs in both eyes, requiring a unique ICD-10-CM code for billing and insurance purposes. In this article, we will explore the ICD-10-CM code for bilateral nuclear sclerosis cataracts and provide guidance on coding this condition correctly.

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What is Nuclear Sclerosis?

Nuclear sclerosis is a type of age-related lens degeneration that occurs in the nucleus of the lens. It is characterized by an increase in the refractive index of the lens, leading to a reduction in the amount of light that enters the eye. Nuclear sclerosis is the most common type of age-related cataract, accounting for approximately 60% of all cataracts.

Bilateral Nuclear Sclerosis Cataracts

Bilateral nuclear sclerosis cataracts are a condition in which both eyes develop nuclear sclerosis cataracts, often simultaneously. This can lead to significant vision impairment and disability, affecting a person’s daily life, work, and overall quality of life.

ICD-10-CM Codes for Bilateral Nuclear Sclerosis Cataracts

The ICD-10-CM code for bilateral nuclear sclerosis cataracts is H26.32. This code is specific to cataracts affecting both eyes and is used for billing and insurance purposes.

CodeDescription
H26.32Bilateral nuclear cataract

How to Code Bilateral Nuclear Sclerosis Cataracts

To code bilateral nuclear sclerosis cataracts accurately, follow these steps:

  1. Determine the presence of cataracts in both eyes. Bilateral nuclear sclerosis cataracts must affect both eyes to warrant this code.
  2. Identify the type of cataract. In this case, we are dealing with nuclear sclerosis cataracts.
  3. Use the correct ICD-10-CM code. The code for bilateral nuclear sclerosis cataracts is H26.32.

Coding Tips and Reminders

  • Always verify the diagnosis and ICD-10-CM code with your doctor or medical records.
  • Use the correct code even if the patient has additional conditions or comorbidities.
  • The code H26.32 is specific to cataracts affecting both eyes and should not be confused with codes for cataracts affecting one eye or other types of cataracts.

Conclusion

Bilateral nuclear sclerosis cataracts are a common condition that requires accurate coding using the ICD-10-CM code H26.32. By following the guidelines and tips outlined in this article, healthcare providers can ensure accurate and efficient coding for this condition, ultimately promoting better patient care and quality of life.

Reference

  • Centers for Disease Control and Prevention. (2022). Age-Related Macular Degeneration and Cataracts.
  • World Health Organization. (2022). Vision Impairment and Blindness.
  • International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). (2022). Cataracts and other disorders of the lens.

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