Practice Quiz

Medical Coding

Category - ICD-10-CM Volumes 1 and 2

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How do you report bilateral glaucoma where each eye is documented as having a different type or stage?
  1. Assign the bilateral glaucoma code for whatever type of glaucoma is the more severe.
  2. Assign individual codes when the glaucoma classification distinguishes laterality. Use each code individually for each eye to assign the type of glaucoma, and then use the appropriate seventh character for the stage.
  3. Assign individual codes for each eye, each type, and each stage.
  4. Assign individual codes when glaucoma classification distinguishes laterality, but do not distinguish between the types or the stages.
Explanation
Answer: B - It is important to always refer to the Alphabetic Index and Tabular List when obtaining the correct codes. There are different codes for the types of glaucoma and some of these codes do have laterality specified. The stages will need to be identified by using the appropriate seventh character and the Tabular List will aid in the correct code identification.

If it is documented that different types of glaucoma are in different eyes, then the coding needs to reflect this and not just reflect the most severe. Stages are identified by the seventh character.
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