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2025 ICD-10-CM code H47.231

Glaucomatous optic atrophy of the right eye.

Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition.

The medical necessity for using this code is established by the presence of optic nerve damage specifically due to glaucoma, impacting visual function. The documentation should clearly link the optic atrophy to glaucoma as the underlying cause.

Diagnosis and management of this condition falls under the purview of ophthalmologists. They are responsible for evaluating the extent of optic nerve damage, assessing visual function, and implementing appropriate treatment strategies to manage glaucoma and prevent further vision loss. This may involve prescribing medications, laser treatments, or surgical interventions. Regular monitoring of intraocular pressure and visual field testing are crucial aspects of long-term management.

In simple words: Damage to the optic nerve in the right eye caused by glaucoma, leading to vision loss.

Glaucomatous optic atrophy, right eye

Example 1: A 65-year-old patient with a history of primary open-angle glaucoma presents with progressive vision loss in their right eye. Upon examination, the ophthalmologist observes pallor of the optic disc and characteristic cupping, confirming the diagnosis of glaucomatous optic atrophy., A 40-year-old individual with angle-closure glaucoma experiences a sudden increase in intraocular pressure, causing damage to the optic nerve in their right eye. Subsequent examination reveals glaucomatous optic atrophy., A child with congenital glaucoma undergoes several surgical procedures to manage their condition. Despite intervention, they develop glaucomatous optic atrophy in their right eye, resulting in partial vision impairment.

Documentation should include a comprehensive ophthalmologic examination detailing the appearance of the optic disc, visual field testing results, intraocular pressure measurements, and the patient's medical history, including any prior glaucoma diagnoses or treatments.

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