Coloboma of lens
ICD-10 Q12.2 is a billable code used to indicate a diagnosis of coloboma of lens.
Coloboma of the lens is a congenital eye condition characterized by a defect in the lens structure, resulting in a notch or gap. This malformation occurs due to incomplete closure of the embryonic fissure during fetal development, which can affect various parts of the eye, including the iris, retina, and optic nerve. Colobomas can lead to visual impairment, depending on the severity and associated anomalies. Patients may present with symptoms such as blurred vision, photophobia, and strabismus. The condition can occur in isolation or as part of syndromic presentations, such as CHARGE syndrome or other genetic disorders. Diagnosis is typically made through a comprehensive eye examination, including slit-lamp examination and imaging studies. Management may involve corrective lenses, surgical intervention, or referral to specialists for visual rehabilitation. Early detection and intervention are crucial for optimizing visual outcomes in affected children.
Documentation must include detailed descriptions of visual assessments, developmental milestones, and any associated syndromic features.
Common scenarios include routine pediatric eye exams where coloboma is identified, or referrals for visual impairment assessments.
Pediatric coders should be aware of the developmental implications of coloboma and the need for ongoing monitoring.
Genetic evaluations should document family history, potential syndromic associations, and results of genetic testing.
Scenarios may include genetic counseling sessions for families with a history of congenital eye conditions.
Genetic coders must ensure accurate coding of any identified syndromes that may include coloboma as a feature.
Used during initial assessments of children with coloboma.
Document visual acuity tests and findings from the comprehensive eye exam.
Pediatric ophthalmologists should ensure thorough documentation of all findings.
Coloboma of the lens is a congenital defect characterized by a gap or notch in the lens, which can lead to visual impairment. It is important to document the severity and any associated conditions for accurate coding.
