2025 ICD-10-CM code H50.6
Mechanical strabismus. This condition restricts eye movement due to physical obstructions or limitations.
Medical necessity for services related to H50.6 should be supported by documentation that demonstrates the impact of the strabismus on the patient's vision or quality of life.This might include diplopia (double vision), amblyopia (lazy eye), or functional limitations due to the misalignment.The medical record should also clearly document the rationale for the chosen treatment approach.
Diagnosis and management of mechanical strabismus typically falls under the purview of ophthalmologists and optometrists.They are responsible for diagnosing the cause of the strabismus, assessing the degree of misalignment, and recommending appropriate treatment.Treatment may involve surgery to release adhesions or remove obstructions, or non-surgical approaches like eye exercises or prisms.
- VII Diseases of the eye and adnexa
- H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction
In simple words: Mechanical strabismus is a condition where the eyes don't line up correctly because something is physically preventing the eye muscles from moving the eye properly.This could be due to scar tissue, problems with the structures around the eye, or an injury.
Mechanical strabismus is a type of strabismus (misalignment of the eyes) caused by a physical restriction of eye movement rather than a neurological problem.The restriction can be due to problems with the eye muscles themselves, such as adhesions or scarring, or due to mechanical obstructions in the orbit. This limits the ability of the eye muscles to move the eye correctly, resulting in the eye turning inwards, outwards, upwards, or downwards.
Example 1: A patient presents with an inward turning of the right eye following orbital trauma. Imaging reveals scar tissue restricting the lateral rectus muscle. The diagnosis is mechanical strabismus due to adhesions (H50.6)., A child with Brown's syndrome experiences limited upward movement of one eye due to a shortened or tight superior oblique tendon sheath. This restriction causes vertical strabismus and is coded as H50.6., A patient with a history of thyroid eye disease develops restrictive strabismus due to fibrosis of the eye muscles. This mechanical limitation of eye movement is also classified under H50.6.
Documentation for H50.6 should include a detailed description of the strabismus, including the direction of the deviation, the presence of any limitations in eye movement, and the underlying cause of the mechanical restriction.Imaging studies, such as CT or MRI, may be necessary to confirm the diagnosis.Any previous treatments or surgeries related to the eye should also be documented.
** Refer to iFrameAI for more precise and up-to-date medical coding information.
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital