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2025 ICD-10-CM code T85.2

Mechanical complication of intraocular lens.

Additional codes may be required to specify the cause of the complication (Chapter 20, External causes of morbidity), and any retained foreign body (Z18.-). Correct sequencing of codes is crucial for accurate billing and reimbursement.

Modifiers may be applicable depending on the specific circumstances of the service provided (e.g., location, anesthesia, etc.)

Medical necessity is established by the presence of a clinically significant mechanical complication of the intraocular lens, resulting in compromised visual acuity, pain, or other symptoms requiring medical attention or intervention.Documentation must clearly demonstrate the causal link between the lens and the patient's condition.

Ophthalmologist or other qualified eye care professional.The clinical responsibility includes diagnosis, treatment, and management of the mechanical complication of the intraocular lens, which may involve surgical intervention or other corrective measures.

IMPORTANT:No alternate codes are explicitly specified in the provided data, however, additional codes might be necessary depending on the specific complication (e.g., codes from Chapter 20 for the external cause of the complication, or Z18.- for retained foreign body).

In simple words: This code is used when there is a problem with an artificial lens inside the eye, such as the lens moving out of place, breaking, or malfunctioning.

This code classifies a mechanical complication arising from an intraocular lens.This could include displacement, dislocation, breakage, or other mechanical failures of the lens implant following cataract surgery or other ophthalmic procedures.It does not encompass infections, inflammations, or other non-mechanical complications.

Example 1: A 70-year-old patient presents with blurry vision and eye pain one week post cataract surgery. Examination reveals the intraocular lens has subluxated (partially dislocated)., A 65-year-old patient experiences sudden vision loss and reports a sensation of something in their eye three months after cataract surgery.Examination shows a fractured intraocular lens piece in the anterior chamber., A 55-year-old patient undergoing a revision cataract surgery reports a dislocated intraocular lens during the original procedure. The surgeon is documenting the complication of the prior surgery during this revision.

* Detailed ophthalmologic examination findings, including visual acuity, intraocular pressure, and slit-lamp biomicroscopy.* Preoperative and postoperative imaging (e.g., ultrasound biomicroscopy or optical coherence tomography).* Operative reports documenting the original surgery and any subsequent procedures.* Patient history detailing the onset and progression of symptoms.

** The code specifically addresses mechanical complications; other complications (e.g., infection, inflammation) would require separate coding.

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