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2025 ICD-10-CM code H50.34

Intermittent alternating exotropia

Use H50.34 when the exotropia is intermittent and alternates between the eyes.If the exotropia is constant or only affects one eye, a different code should be used.

Medical necessity for treatment is based on the impact of the exotropia on vision function, the presence of symptoms, and the potential for amblyopia (lazy eye) development in children.The documentation should clearly link the diagnosis and chosen treatment to the patient's specific visual needs.

Diagnosis and management of intermittent alternating exotropia typically falls under the purview of ophthalmologists and optometrists.They assess the frequency, magnitude, and any underlying causes of the exotropia. Treatment options, including eyeglasses, eye exercises, or surgery, are determined based on the individual's specific needs.

In simple words: Sometimes, one eye and then the other may wander outwards.

Intermittent alternating exotropia is a condition where the eyes intermittently turn outward, and the outward deviation occurs alternately between the two eyes.

Example 1: A 6-year-old child presents with occasional outward turning of either the left or right eye, noted mostly during periods of fatigue or inattention. Examination reveals intermittent alternating exotropia., A 15-year-old patient reports that sometimes one eye drifts outwards, and other times the other eye drifts outwards. This happens intermittently and has been present since childhood. After a thorough examination, intermittent alternating exotropia is diagnosed., An adult patient experiences intermittent double vision, particularly when tired. Upon examination, the ophthalmologist observes that the patient's eyes alternately drift outwards, leading to a diagnosis of intermittent alternating exotropia.

Documentation should include frequency of deviation, laterality (which eye is affected), and any associated symptoms like double vision or eye strain.Measurements of the deviation angle and any previous treatments are also important to document.

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