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2025 ICD-10-CM code H50.1

Exotropia. Divergent concomitant strabismus.

Code H50.1 should be used for cases of divergent concomitant strabismus. It excludes intermittent exotropia (H50.33-, H50.34). If applicable, an external cause code should be used following H50.1 to identify the cause of the exotropia. Do not use H50.1 with codes for 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 (Q00-Q99), diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-), endocrine, nutritional and metabolic diseases (E00-E88), injury of eye and orbit (S05.-), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms and signs (R00-R94), or syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71).

Medical necessity for treatment of exotropia is based on the impact on vision and eye health.Significant deviations can lead to amblyopia (lazy eye) in children, permanent vision loss, and reduced quality of life. Treatment is often necessary to restore binocular vision, prevent complications, and improve cosmetic appearance.

Diagnosis and management of exotropia typically falls under the purview of ophthalmologists or optometrists. They are responsible for assessing the degree of deviation, identifying any underlying causes, and recommending appropriate treatment, which may include eyeglasses, prisms, eye exercises, or surgery.

In simple words: Exotropia is a type of strabismus (eye misalignment) where one eye turns outward.Normally, both eyes look straight ahead. With exotropia, one eye deviates towards the temple. This can cause problems with vision, such as double vision or impaired depth perception.

A form of ocular misalignment where the visual axes diverge inappropriately. For example, medial rectus muscle weakness may produce this condition as the affected eye will deviate laterally upon attempted forward gaze. An exotropia occurs due to the relatively unopposed force exerted on the eye by the lateral rectus muscle, which pulls the eye in an outward direction.

Example 1: A 6-year-old child is brought to the ophthalmologist because one eye turns outwards intermittently. After a comprehensive eye exam, the diagnosis of intermittent exotropia is made., A 30-year-old adult experiences double vision and eye strain. An ophthalmologist diagnoses constant exotropia, which developed after a recent head injury., An infant is noted to have a constant outward deviation of one eye. Following a pediatric ophthalmology evaluation, congenital exotropia is confirmed.

Documentation should include a detailed description of the deviation, including frequency (constant or intermittent), laterality (which eye is affected), and any associated symptoms like double vision or eye strain. Measurements of the deviation angle using prisms, as well as assessment of visual acuity and binocular function, are essential. Any underlying medical conditions or prior treatments should also be documented.

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