2025 ICD-10-CM code H50.0
Esotropia. Convergent concomitant strabismus.
Medical necessity for treatment of esotropia is based on the presence of functional or cosmetic impairment.Functional impairment may include diplopia, amblyopia (lazy eye), or difficulty with binocular vision.Cosmetic concerns can also be a valid reason for intervention, particularly in cases where the misalignment causes significant psychosocial distress.
Diagnosis and management of esotropia typically falls under the purview of ophthalmologists and optometrists.They are responsible for assessing the degree of misalignment, identifying the underlying cause if possible, and recommending appropriate treatment strategies, which may include corrective lenses, eye exercises, or surgery.
- Chapter 7: Diseases of the eye and adnexa (H00-H59)
- Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)
In simple words: Esotropia is a type of eye misalignment where one or both eyes turn inwards, sometimes called "crossed eyes."The eyes don't work together as a team, and the amount the eye turns in stays about the same no matter which direction you look.
A form of strabismus, or ocular misalignment, characterized by an inward deviation of one or both eyes.It is a convergent concomitant strabismus, meaning the degree of misalignment remains relatively constant in all directions of gaze.
Example 1: A 6-month-old infant is brought to the pediatrician because one eye appears to turn inwards.The pediatrician diagnoses infantile esotropia and refers the infant to a pediatric ophthalmologist., A 40-year-old adult develops double vision after a head injury. Examination reveals a new-onset esotropia, likely due to cranial nerve damage. The patient is referred to a neuro-ophthalmologist for further evaluation., An 8-year-old child with a history of intermittent esotropia now experiences constant inward deviation of one eye.The ophthalmologist determines that the esotropia has become constant and recommends surgery to correct the misalignment.
Documentation should include the type of esotropia (e.g., infantile, acquired, accommodative), the degree of deviation measured in prism diopters, any associated symptoms (e.g., diplopia, amblyopia), and the treatment plan.
** Excludes1: intermittent esotropia (H50.31-, H50.32). Excludes2: certain conditions originating in the perinatal period (P04-P96); certain infectious and parasitic diseases (A00-B99); complications of pregnancy, childbirth and the puerperium (O00-O9A); congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99); diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-); endocrine, nutritional and metabolic diseases (E00-E88); injury (trauma) of eye and orbit (S05.-); injury, poisoning and certain other consequences of external causes (S00-T88); neoplasms (C00-D49); symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94); syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71).
- Payment Status: Active
- Specialties:Ophthalmology, Optometry, Pediatrics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital