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2025 ICD-10-CM code H44.7

Retained (old) intraocular foreign body, nonmagnetic.

It is essential to differentiate between a current injury (S05.-) and a retained, old foreign body (H44.7). Also, use an additional code to specify the type of non-magnetic foreign body.

Medical necessity for intervention is based on the potential for complications such as inflammation, infection, glaucoma, or retinal detachment. The size, location, and composition of the foreign body, as well as the patient's symptoms and visual function, will influence the decision to intervene.

The diagnosis and management of a retained intraocular foreign body requires specialized ophthalmological expertise.The ophthalmologist will assess the location, size, and composition of the foreign body, as well as any associated ocular damage.Treatment may range from observation to surgical removal, depending on the specific circumstances.

IMPORTANT:Use additional code to identify nonmagnetic foreign body (Z18.01-Z18.10, Z18.12, Z18.2-Z18.9)

In simple words: This code signifies an old, non-magnetic foreign body that is still present within the eye.

Retained (old) intraocular foreign body, nonmagnetic. Use additional code to identify nonmagnetic foreign body (Z18.01-Z18.10, Z18.12, Z18.2-Z18.9). Excludes1: current intraocular foreign body (S05.-). Excludes2: retained foreign body in eyelid (H02.81-), retained (old) foreign body following penetrating wound of orbit (H05.5-), retained (old) intraocular foreign body, magnetic (H44.6-).

Example 1: A 50-year-old male presents with blurred vision and discomfort in his right eye. Upon examination, a small, non-magnetic metallic fragment is found embedded in the vitreous. The patient reports a history of metalwork several months prior, suggesting that the fragment entered the eye at that time. Code H44.7 is assigned., A 30-year-old female complains of persistent irritation in her left eye.She recalls a small piece of plastic hitting her eye while gardening a few weeks ago.A tiny plastic fragment is discovered lodged in the iris during the ophthalmic examination. The appropriate code is H44.7., A child presents with chronic inflammation and decreased vision in one eye. Imaging reveals a non-magnetic foreign body within the globe, likely originating from a playground incident months earlier.H44.7 accurately reflects this condition.

Documentation should include the type and location of the foreign body, the date of the original injury (if known), the current symptoms, and the results of the ophthalmic examination (including visual acuity, slit-lamp findings, and any imaging studies performed).

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