Congenital cataract
ICD-10 Q12.0 is a billable code used to indicate a diagnosis of congenital cataract.
Congenital cataract refers to a clouding of the lens of the eye that is present at birth. This condition can affect one or both eyes and may vary in severity from a small opacity to complete opacification of the lens. Congenital cataracts can be isolated or associated with other congenital anomalies, particularly in syndromic conditions such as Down syndrome, Turner syndrome, and others. The etiology of congenital cataracts can be multifactorial, including genetic predispositions, maternal infections during pregnancy (such as rubella), and metabolic disorders. Early diagnosis and intervention are crucial, as untreated congenital cataracts can lead to amblyopia and permanent vision impairment. Diagnosis typically involves a comprehensive eye examination, and treatment may include surgical removal of the cataract and subsequent visual rehabilitation. The management of congenital cataracts requires a multidisciplinary approach, often involving pediatricians, ophthalmologists, and geneticists.
Detailed pediatric history, including prenatal exposures and family history of eye conditions.
Infants presenting with leukocoria or poor visual tracking, requiring referral to ophthalmology.
Consideration of developmental milestones and visual rehabilitation needs.
Genetic testing results, family pedigree, and documentation of syndromic associations.
Counseling families with a history of congenital cataracts or associated syndromes.
Understanding the genetic basis of cataracts and implications for family planning.
Used in cases of congenital cataract requiring surgical intervention.
Pre-operative assessment, surgical notes, and post-operative follow-up.
Ophthalmology-specific documentation for surgical procedures.
Documenting associated congenital anomalies is crucial as it impacts the management plan, potential genetic counseling, and coding accuracy. It also helps in understanding the broader clinical picture and potential syndromic implications.
