ICD-10 Tip Sheet
ICD-10 arrives October 1, 2015. Be ready.
Indicate diagnosis codes to the highest specificity.
• ICD-10 CM has 3-7 digits:
Digit 1 is Digit 2 is
alpha numeric
Digits 3-7 are either
alpha or numeric
Do
• Code for specific eye (when applicable)
• Continue to bill with location modifiers when required
Don’t
• Code for left and right eye, if it’s both, use a bilateral code
Use This
H52.11
for myopia, right eye
H52.12
for myopia, left eye
H52.13
for myopia, bilateral
Not That
H52.1
for myopia
• Review your current systems and work processes that use ICD-9 codes.
• Identify any potential changes to your work flow and business practices.
Code
What can you do to prepare?
• Examine relevant ICD-10 codes now.
• You don’t need to use all 68,000 codes; your practice will
most likely use a very small subset of codes.
• As with ICD-9, an alphabetic index and electronic tools
are available to help with code selection.
• Electronic health record (EHR) solutions with intelligent, auto-coding
can generate the appropriate code.
• Examples of commonly used diagnosis codes*:
ICD-9
V72.0
367.1
Examination of
eyes and vision
Myopia
ICD-10
BRINGS SIGNIFICANT
CHANGE TO THE
HEALTH CARE
INDUSTRY.
Resources are
available to help
ease the transition.
ICD-10
Z01.00
Encounter for Examination of eyes and
vision without abnormal findings
Z01.01
Encounter for Examination of eyes and
vision with abnormal findings
H52.10
Myopia, unspecified eye
H52.11
Myopia, right eye
H52.12
Myopia, left eye
H52.13
Myopia, bilateral
Please visit:
Top DX Codes
cms.gov/ICD
eyefinity.com/ICD10
*This is not a complete list of diagnosis codes. Please refer to
http://www.cms.gov/Medicare/Coding/icd10/ for more information.
Dates
ICD-9 codes will be accepted with a Date of Service on and before September 30, 2015.
ICD-10 codes will be accepted with a Date of Service on and after October 1, 2015.
©2015 Vision Service Plan. All rights reserved.
VSP is a registered trademark of Vision Service Plan. Eyefinity is a registered trademark of Eyefinity, Inc.
JOB#21943DR 7/15
Top DX Codes
These are some commonly used diagnosis codes
specific to the optical industry.
ICD-9
V72.0
Examination of eyes and vision
367.1
Myopia
367.4
Presbyopia
367.21
Regular astigmatism
367.0
367.20
Hyperopia
Astigmatism NOS
367.9
Unspecified disorder of refraction
and accommodation
375.15
Tear Film Insuffic NOS
ICD-10
ZØ1.ØØ
Encounter for examination of eyes and vision without abnormal findings
ZØ1.Ø1
Encounter for examination of eyes and vision with abnormal findings
H52.10
Myopia, unspecified eye
H52.11
Myopia, right eye
H52.12
Myopia, left eye
H52.13
Myopia, bilateral
H52.4
Presbyopia
H52.221
Regular astigmatism, right eye
H52.222
Regular astigmatism, left eye
H52.223
Regular astigmatism, bilateral
H52.229
Regular astigmatism, unspecified eye
H52.00
Hyperopia, unspecified eye
H52.01
Hyperopia, right eye
H52.02
Hyperopia, left eye
H52.03
Hyperopia, bilateral
H52.201
Unspecified astigmatism, right eye
H52.202
Unspecified astigmatism, left eye
H52.203
Unspecified astigmatism, bilateral
H52.209
Unspecified astigmatism, unspecified eye
H52.7
HØ4.129
Unspecified disorder of refraction
Dry eye syndrome of unspecified lacrimal gland
Please visit:
cms.gov/ICD
eyefinity.com/ICD10
©2015 Vision Service Plan. All rights reserved.
VSP is a registered trademark of Vision Service Plan. Eyefinity is a registered trademark of Eyefinity, Inc.
JOB#21943DR 7/15