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v1.0.0
ICD-10 Guide
DiagnosesMyopia

Myopia

ICD-10 Coding for Myopia(H44.2, H52.1)

PRIMARY SPECIALTYOphthalmology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Myopia?
Essential facts and insights about Myopia

Key Clinical Considerations:

  • Blurred vision at distance
  • Difficulty seeing far away objects
  • Eye strain or fatigue

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of visual complaints
  • Results of visual acuity tests
  • Refraction measurements

Coding Guidelines

Usage Guidelines & Examples

  • Use H52.13 for bilateral myopia; avoid using unspecified codes.
  • Common errors include misclassifying severity or laterality.

Code Exclusions

Important Exclusions

  • Hyperopia
  • Astigmatism
  • Other refractive errors

Related ICD-10 Codes

Primary Codes
H52.13
Myopia, bilateral
H52.12
Myopia, right eye
H52.11
Myopia, left eye
Ancillary Codes
H44.22
Differential Codes
H52.1
H44.2

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Ophthalmology

Specialty Applications

  • All age groups, especially children and young adults
  • Ophthalmology clinics and optometry practices

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document visual acuity, refraction results, and patient symptoms.

Billing considerations?

Ensure accurate coding based on eye affected and severity.