2025 ICD-10-CM code H40.0
(Active) Effective Date: N/A Diseases of the eye and adnexa - Glaucoma (H40-H42) VII Diseases of the eye and adnexa (H00-H59) Feed
Glaucoma suspect. This condition indicates a suspicion of glaucoma, but a definitive diagnosis has not yet been confirmed.
Medical necessity for evaluating and managing glaucoma suspect stems from the potential for irreversible vision loss if glaucoma develops. Early detection and intervention are crucial to prevent or slow disease progression and preserve vision.
Diagnosis and management of glaucoma suspect typically falls under the purview of ophthalmologists or optometrists. They perform diagnostic tests like tonometry, gonioscopy, and optic nerve assessment to evaluate the patient's risk of developing glaucoma.
In simple words: Your eye doctor thinks you might have glaucoma, but they need to do more tests to be sure. Glaucoma is a serious eye disease that can cause vision loss if not treated.
Glaucoma suspect is a diagnosis given when there are signs suggestive of glaucoma, but not enough to confirm the disease. These signs may include borderline intraocular pressure, suspicious optic nerve appearance, or unusual visual field findings.Further testing and monitoring are required to determine if the patient will develop glaucoma.
Example 1: A patient presents with slightly elevated intraocular pressure but no optic nerve damage or visual field loss. They are diagnosed with glaucoma suspect and scheduled for follow-up monitoring., A patient's optic nerve shows suspicious cupping, but their intraocular pressure is normal. They are classified as glaucoma suspect and undergo further testing, including visual field analysis and OCT., A patient with a family history of glaucoma has borderline intraocular pressure and some early visual field changes.They receive the diagnosis of glaucoma suspect and begin preventative treatment to lower eye pressure.
Documentation for glaucoma suspect should include the reason for suspicion, such as elevated intraocular pressure, optic nerve changes, or visual field defects.The results of any diagnostic tests performed, like tonometry, gonioscopy, pachymetry, and visual field testing, should also be documented.A plan for follow-up care and monitoring should also be included.
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital