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ICD-10 Guide
ICD-10 CodesE72.03

E72.03

Billable

Lowe's syndrome

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

Code Description

ICD-10 E72.03 is a billable code used to indicate a diagnosis of lowe's syndrome.

Key Diagnostic Point:

Lowe's syndrome, also known as oculocerebrorenal syndrome, is a rare genetic disorder caused by mutations in the OCRL gene located on chromosome X. This condition is characterized by a triad of symptoms: congenital cataracts, renal dysfunction, and neurological impairment. Patients often present with ocular abnormalities, including bilateral cataracts and glaucoma, which can lead to significant visual impairment. Renal manifestations may include renal tubular acidosis and nephrocalcinosis, resulting in electrolyte imbalances and potential kidney failure. Neurological symptoms can range from developmental delays to intellectual disabilities, with some individuals experiencing seizures. The syndrome is inherited in an X-linked recessive pattern, predominantly affecting males, while females may exhibit milder symptoms or be asymptomatic carriers. Early diagnosis and management are crucial to address the multi-systemic complications associated with Lowe's syndrome, including regular ophthalmologic evaluations, renal function monitoring, and supportive therapies for neurological deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • X-linked inheritance pattern complicates family history documentation.
  • Variability in clinical presentation among affected individuals.
  • Need for comprehensive documentation of multi-system involvement.
  • Potential for co-morbid conditions requiring additional coding.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to document all presenting symptoms.
  • Misclassification of the condition due to overlapping symptoms with other syndromes.
  • Lack of clear linkage between symptoms and the diagnosis.

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history and genetic testing results.

Common Clinical Scenarios

Evaluation of family members for carrier status and genetic counseling.

Billing Considerations

Documentation must clearly indicate the genetic basis of the condition.

Pediatrics

Documentation Requirements

Comprehensive developmental assessments and multi-disciplinary evaluations.

Common Clinical Scenarios

Management of developmental delays and referrals to specialists.

Billing Considerations

Regular monitoring of visual and renal health is essential.

Coding Guidelines

Inclusion Criteria

Use E72.03 When
  • According to ICD
  • 10 guidelines, Lowe's syndrome is classified under E72
  • Coders must ensure that all relevant symptoms and complications are documented to support the diagnosis

Exclusion Criteria

Do NOT use E72.03 When
  • Exclusion criteria include conditions that do not present with the characteristic triad of symptoms

Related ICD-10 Codes

Related CPT Codes

81220CPT Code

Genetic testing for OCRL mutations

Clinical Scenario

Used when confirming a diagnosis of Lowe's syndrome.

Documentation Requirements

Documentation of clinical suspicion and family history.

Specialty Considerations

Genetic counseling may be necessary post-testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Lowe's syndrome, improving the accuracy of data collection and reimbursement processes. The detailed coding structure helps in capturing the complexity of the condition and its associated symptoms.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Lowe's syndrome, improving the accuracy of data collection and reimbursement processes. The detailed coding structure helps in capturing the complexity of the condition and its associated symptoms.

Reimbursement & Billing Impact

reimbursement processes. The detailed coding structure helps in capturing the complexity of the condition and its associated symptoms.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the key symptoms of Lowe's syndrome?

The key symptoms include congenital cataracts, renal dysfunction, and neurological impairment, which can vary in severity among affected individuals.