2025 ICD-10-CM code H50.32
(Active) Effective Date: N/A Diseases of the eye and adnexa - Disorders of ocular muscles, binocular movement, accommodation and refraction 7 Feed
Intermittent alternating esotropia.This is a condition where the eyes intermittently turn inwards, alternating which eye deviates.
Medical necessity for treatment of intermittent alternating esotropia is determined by the frequency and severity of symptoms, presence of functional limitations or diplopia, and potential impact on visual development, particularly in children.
Diagnosis and management of intermittent alternating esotropia typically falls under the purview of ophthalmologists or optometrists. They perform comprehensive eye exams, including visual acuity tests, assessments of eye alignment and movement, and refractive evaluations to determine the extent and cause of the esotropia. Treatment strategies are then formulated based on individual needs.
In simple words: Sometimes, one eye turns in towards the nose, and sometimes, the other eye turns in. The eyes are straight at other times.
Intermittent alternating esotropia is a disorder of the ocular muscles characterized by the inward turning of one eye at a time. The deviation alternates between the left and right eye. This condition is present only part-time, meaning the eyes are straight some of the time.
Example 1: A 5-year-old child intermittently exhibits inward deviation of either the right or left eye. The child's parents notice that sometimes the child's eyes appear crossed, while at other times they seem straight. An ophthalmologist diagnoses the child with intermittent alternating esotropia., An adult reports occasional double vision and eye strain. During an eye examination, the ophthalmologist observes an intermittent inward turning of one eye, alternating between the left and right. The diagnosis is intermittent alternating esotropia., A patient with a history of intermittent alternating esotropia, controlled with glasses in childhood, experiences a recurrence of symptoms in adulthood. They seek consultation with an ophthalmologist to discuss management options.
Documentation for intermittent alternating esotropia should include frequency, duration, and laterality of the deviation, presence or absence of diplopia, results of visual acuity testing, cover/uncover test findings, and other relevant examination details. Any associated amblyopia or refractive errors should also be documented.
- Specialties:Ophthalmology, Optometry
- Place of Service:Office