Revenue Cycle Insider

Optometry/Ophthalmology Coding:

Use 7th Characters to Identify POAG Stages

Question: Our ophthalmologist diagnosed a patient with primary open-angle glaucoma (POAG), but the right eye is documented as moderate stage and the left eye is noted as severe stage. Should we use a bilateral diagnosis code, or do we report each eye individually? Texas Subscriber Answer: You will assign a separate code for each eye for this case. Assign H40.1112 [...]
Codify by AAPC
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

October 2026

View All
Subscribe to newsletter