Abnormal oculomotor study
ICD-10 R94.113 is a billable code used to indicate a diagnosis of abnormal oculomotor study.
An abnormal oculomotor study indicates that the results of tests assessing the function of the oculomotor nerve, which controls eye movements, are outside the normal range. This may manifest as issues with eye alignment, movement, or coordination, potentially leading to symptoms such as diplopia (double vision), strabismus (misalignment of the eyes), or difficulty with visual tracking. Abnormal findings can arise from various conditions, including neurological disorders, trauma, or systemic diseases affecting the nervous system. The oculomotor study typically involves a series of tests, including assessments of eye movements, pupil response, and the ability to maintain fixation. Clinicians may utilize this code when the results of these tests reveal abnormalities that are not classified elsewhere, guiding further diagnostic evaluation and management.
Detailed documentation of the patient's history, physical examination findings, and the specific tests performed.
Patients presenting with unexplained visual disturbances or neurological symptoms.
Ensure that the clinical context justifies the need for the oculomotor study.
Acute care documentation should include immediate findings and any interventions performed.
Acute presentations of diplopia or sudden onset of visual disturbances.
Rapid assessment and documentation are crucial for timely diagnosis and treatment.
Used when performing a detailed oculomotor study.
Document the specific tests performed and the results.
Ensure that the testing aligns with the clinical indications for the study.
Document the patient's symptoms, the specific tests performed during the oculomotor study, and the abnormal findings that justify the use of this code.
