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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.413

H16.413

Billable

Ghost vessels (corneal), bilateral

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H16.413 is a billable code used to indicate a diagnosis of ghost vessels (corneal), bilateral.

Key Diagnostic Point:

Ghost vessels (corneal), bilateral

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
The clinical complexity of H16.413 involves assessing the presence of ghost vessels in the cornea, which may require detailed examination and differential diagnosis to rule out other corneal pathologies. Management may involve specialized treatments or referrals.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Optometry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Coding Guidelines

Inclusion Criteria

Use H16.413 When
  • Ensure accurate documentation of symptoms, examination findings, and any treatments provided
  • Use H16
  • 413 specifically for bilateral ghost vessels, and consider additional codes for associated conditions if applicable

Exclusion Criteria

Do NOT use H16.413 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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Documentation Requirements

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CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding of H16.413 is crucial for proper reimbursement and reflects the complexity of the patient's condition. Misclassification can lead to claim denials or delays in payment.

ICD-9 vs ICD-10

Accurate coding of H16.413 is crucial for proper reimbursement and reflects the complexity of the patient's condition. Misclassification can lead to claim denials or delays in payment.

Reimbursement & Billing Impact

reimbursement and reflects the complexity of the patient's condition. Misclassification can lead to claim denials or delays in payment.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Corneal Disorders
  • •
    National Eye Institute - Corneal Diseases
  • •
    American Optometric Association - Corneal Health

Coding & Billing References

  • •
    American Academy of Ophthalmology - Corneal Disorders
  • •
    National Eye Institute - Corneal Diseases
  • •
    American Optometric Association - Corneal Health

Frequently Asked Questions

What are ghost vessels in the cornea?

Ghost vessels are abnormal, often transient, vascular structures that can appear in the cornea, typically associated with certain corneal diseases or conditions.

How is the diagnosis of ghost vessels made?

Diagnosis is made through a comprehensive eye examination, including visual acuity tests, slit-lamp examination, and possibly imaging studies to assess corneal health.

What treatments are available for ghost vessels?

Treatment options may include observation, topical medications, or surgical interventions depending on the underlying cause and severity of the condition.