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ICD-10 Guide
ICD-10 CodesB58.00

B58.00

Toxoplasma oculopathy, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B58.00 is a billable code used to indicate a diagnosis of toxoplasma oculopathy, unspecified.

Key Diagnostic Point:

Toxoplasma oculopathy is an ocular manifestation of Toxoplasma gondii infection, a protozoan parasite that can cause significant morbidity, particularly in immunocompromised individuals. The condition is characterized by inflammation of the retina and choroid, leading to symptoms such as blurred vision, floaters, and in severe cases, vision loss. The infection is often acquired through ingestion of oocysts found in contaminated food or water, or through contact with infected cat feces. In immunocompetent individuals, Toxoplasma oculopathy may be asymptomatic or present with mild symptoms, while in immunocompromised patients, such as those with HIV/AIDS or undergoing chemotherapy, the disease can progress rapidly and lead to severe complications. Diagnosis is typically made through clinical examination, serological testing for Toxoplasma antibodies, and imaging studies such as fundus photography or optical coherence tomography. Treatment usually involves the use of antiparasitic medications such as pyrimethamine and sulfadiazine, often combined with corticosteroids to reduce inflammation. Early diagnosis and treatment are crucial to prevent irreversible damage to the retina and preserve vision.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between ocular and systemic manifestations of Toxoplasmosis
  • Need for precise documentation of symptoms and clinical findings
  • Potential for co-infection with other pathogens in immunocompromised patients
  • Variability in clinical presentation based on patient immune status

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the affected eye in related codes
  • Lack of supporting serological or imaging evidence
  • Misclassification of the condition as a different ocular disease

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed ocular examination findings, including visual acuity and fundoscopic findings.

Common Clinical Scenarios

Patients presenting with blurred vision, floaters, or acute vision loss.

Billing Considerations

Documentation must clearly indicate the presence of Toxoplasma oculopathy and any associated systemic symptoms.

Infectious Disease

Documentation Requirements

Comprehensive patient history, including immunocompromised status and serological test results.

Common Clinical Scenarios

Patients with HIV/AIDS presenting with ocular symptoms.

Billing Considerations

Consideration of co-infections and the need for multidisciplinary management.

Coding Guidelines

Inclusion Criteria

Use B58.00 When
  • According to ICD
  • 10 coding guidelines, B58
  • 00 should be used when the specific ocular involvement is not documented
  • If the affected eye is known, the appropriate specific code should be used
  • Documentation must support the diagnosis and any associated symptoms

Exclusion Criteria

Do NOT use B58.00 When
No specific exclusions found.

Related CPT Codes

92014CPT Code

Ophthalmological examination, established patient

Clinical Scenario

Used for follow-up visits in patients diagnosed with Toxoplasma oculopathy.

Documentation Requirements

Complete ocular examination findings and any changes in visual acuity.

Specialty Considerations

Ophthalmologists should document the rationale for the examination and any treatment adjustments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Toxoplasma oculopathy, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Toxoplasma oculopathy, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC Toxoplasmosis Information

Coding & Billing References

  • •
    CDC Toxoplasmosis Information

Frequently Asked Questions

What are the common symptoms of Toxoplasma oculopathy?

Common symptoms include blurred vision, floaters, and in severe cases, vision loss. Patients may also experience eye pain or redness.

How is Toxoplasma oculopathy diagnosed?

Diagnosis is made through clinical examination, serological testing for Toxoplasma antibodies, and imaging studies such as fundus photography.

What is the treatment for Toxoplasma oculopathy?

Treatment typically involves antiparasitic medications such as pyrimethamine and sulfadiazine, often combined with corticosteroids to reduce inflammation.