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2025 ICD-10-CM code H50.31

Intermittent monocular esotropia.

Use H50.31 for intermittent monocular esotropia when the deviation is not constant. Use more specific codes if the esotropia is associated with A or V pattern or other noncomitancies. Do not use H50.31 with codes for nystagmus (H55.-) or if the esotropia is due to a specific underlying condition classified elsewhere.

Medical necessity for intervention is based on the frequency and severity of the esotropia, its impact on vision and binocular function, and potential for amblyopia.Treatment aims to improve eye alignment, restore binocular vision, and prevent or treat amblyopia.

Diagnosis and management typically falls under the purview of ophthalmologists or optometrists specializing in pediatric ophthalmology and strabismus.

In simple words: Sometimes, one eye turns in towards the nose, but not all the time.

This code describes a condition where one eye intermittently turns inwards towards the nose.It is a form of strabismus where the misalignment is not constant.

Example 1: A 6-year-old child is noted by his parents to have his left eye turn inwards occasionally, especially when tired.An ophthalmologist confirms intermittent monocular esotropia., An adult patient reports occasional double vision and eye strain.Examination reveals intermittent esotropia in one eye, triggered by prolonged near work., A child with a history of intermittent monocular esotropia is seen for follow-up. The esotropia is now constant, requiring a change in the diagnostic code.

Documentation should include frequency and circumstances of the esotropia (e.g., intermittent, constant, distance, near), laterality (right or left eye), any associated symptoms (double vision, eye strain), and results of ophthalmological examination including visual acuity, ocular motility, and cover tests.

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