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ICD-10 Guide
ICD-10 CodesChapter 7: Diseases of the eye and adnexaH27

H27

Non-billable

Other disorders of lens

Chapter 7:Diseases of the eye and adnexa

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

Code Description

ICD-10 H27 is a used to indicate a diagnosis of other disorders of lens.

Key Diagnostic Point:

The ICD-10 Level 1 Category code H27 encompasses a variety of disorders related to the lens of the eye that do not fall under more specific classifications. This category includes conditions such as lens dislocation, aphakia, and other lens abnormalities that can significantly affect visual acuity and overall eye health. These disorders can arise from congenital issues, trauma, or age-related changes, and they may require various forms of intervention, including surgical procedures or corrective lenses. Understanding the nuances of these conditions is crucial for appropriate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions covered
  • Potential for overlapping symptoms with other eye disorders
  • Need for precise documentation to support coding

Audit Risk Factors

  • Inadequate documentation of lens conditions
  • Misclassification of lens disorders
  • Failure to provide sufficient clinical rationale for coding

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

Related CPT Codes

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

The clinical and administrative impact of the H27 code category is significant, as it influences quality measures related to eye health and vision care. Accurate coding can enhance population health management by identifying trends in lens disorders, which can inform preventive strategies and resource allocation. Additionally, as healthcare trends shift towards value-based care, the ability to track and report on lens disorders will be crucial for improving patient outcomes and ensuring compliance with healthcare regulations.

ICD-9 vs ICD-10

The clinical and administrative impact of the H27 code category is significant, as it influences quality measures related to eye health and vision care. Accurate coding can enhance population health management by identifying trends in lens disorders, which can inform preventive strategies and resource allocation. Additionally, as healthcare trends shift towards value-based care, the ability to track and report on lens disorders will be crucial for improving patient outcomes and ensuring compliance with healthcare regulations.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the specific lens disorder treated and the interventions performed. It is essential to stay updated on payer policies and guidelines to optimize billing practices and minimize claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for H27

Coding & Billing References

  • •
    Official ICD-10 Guidelines for H27

Frequently Asked Questions

What conditions are included in H27?

H27 includes disorders such as lens dislocation, aphakia, and other lens-related abnormalities that impact vision. These conditions can be congenital or acquired and may require various treatment approaches.

When should I use H27 codes?

H27 codes should be used when documenting any disorders of the lens that do not fit into more specific categories. It is essential to ensure that the diagnosis is well-supported by clinical findings and documentation.

What documentation is required for H27?

Documentation for H27 should include a detailed clinical evaluation of the patient's lens condition, including any diagnostic tests performed, treatment plans, and the rationale for the diagnosis to support the coding.