2025 ICD-10-CM code P15.3
Birth injury to eye.
Medical necessity is established by the presence of a diagnosable eye injury directly related to the birth process. The documentation should support the causal link between the birth event and the eye injury.
Diagnosing and treating the birth injury to the eye. This could involve ophthalmological assessment, monitoring for complications, and potential surgical intervention depending on the severity of the injury.
In simple words: This code describes an injury to a baby's eye that happened during birth. This could be anything from a minor bruise to more serious damage like bleeding under the conjunctiva (the clear membrane covering the white of the eye) or problems with the eye's pressure.
Birth injury to eye includes subconjunctival hemorrhage and traumatic glaucoma resulting from birth trauma.
Example 1: A newborn infant delivered vaginally presents with subconjunctival hemorrhage in the right eye, diagnosed as a birth injury due to pressure during delivery. Code P15.3 is assigned., Following a forceps-assisted delivery, the neonate is diagnosed with traumatic glaucoma in the left eye, attributed to birth trauma. Code P15.3 is used., A newborn delivered via Cesarean section shows signs of retinal detachment, determined to be a birth injury. P15.3 is applied.
Detailed documentation of the eye injury, including the specific nature and location of the injury (e.g., subconjunctival hemorrhage, traumatic glaucoma), the method of delivery, and any associated complications. Any procedures or treatments performed should also be documented.
- Specialties:Neonatology, Ophthalmology, Pediatrics
- Place of Service:Inpatient Hospital, Birthing Center