2025 ICD-10-CM code H40.83
(Active) Effective Date: N/A Glaucoma - Malignant glaucoma 7 Feed
Aqueous misdirection, also known as malignant glaucoma.
Medical necessity for treatment of aqueous misdirection is established by documenting elevated intraocular pressure that poses a threat to vision, along with clinical findings consistent with the diagnosis. The medical record should demonstrate that the treatment is necessary to preserve or improve the patient's vision and overall ocular health.
Diagnosis and management of aqueous misdirection typically fall under the purview of ophthalmologists.They are responsible for accurate diagnosis, determining appropriate treatment strategies (medical or surgical), and monitoring patient response to therapy.
In simple words: Aqueous misdirection is an eye problem where the fluid inside your eye doesn't flow correctly, causing pressure build-up. This can lead to vision problems.
Aqueous misdirection, also known as malignant glaucoma, is a condition where the aqueous humor (fluid in the eye) flows abnormally, causing increased pressure within the eye.It is characterized by a forward displacement of the iris and lens towards the cornea.
Example 1: A patient presents with blurred vision, shallow anterior chamber, and elevated intraocular pressure following recent cataract surgery.The diagnosis of aqueous misdirection is made., A patient with a history of glaucoma experiences sudden onset of severe eye pain, decreased vision, and a fixed, mid-dilated pupil. Upon examination, a shallow anterior chamber is observed, indicating aqueous misdirection. , A patient with no prior history of eye problems develops acute angle-closure glaucoma. After initial treatment, the patient's intraocular pressure remains high, and the anterior chamber becomes shallow.Aqueous misdirection is suspected, and further investigation is conducted.
Documentation should include a detailed ophthalmological examination including intraocular pressure measurements, anterior chamber depth assessment, gonioscopy findings, and a description of symptoms.Any prior eye conditions, surgeries, or medications should also be documented.Documentation must support the diagnosis of aqueous misdirection and justify the treatment plan.
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- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital