Disorders Of The Eye And Adnexa-1 (360-369)

DISORDERS OF THE EYE AND ADNEXA (ICD 9 CODES: 360-379)

Use additional external cause code, if applicable, to identify the cause of the eye condition

360       Disorders of the globe

Includes:     disorders affecting multiple structures of eye

360.0    Purulent endophthalmitis

Excludes: bleb associated endophthalmitis (379.63)

360.00  Purulent endophthalmitis, unspecified

360.01  Acute endophthalmitis

360.02  Panophthalmitis

360.03  Chronic endophthalmitis

360.04  Vitreous abscess

360.1    Other endophthalmitis

Excludes: bleb associated endophthalmitis (379.63)

360.11  Sympathetic uveitis

360.12  Panuveitis

360.13  Parasitic endophthalmitis NOS

360.14  Ophthalmia nodosa

360.19  Other

Phacoanaphylactic endophthalmitis

360.2    Degenerative disorders of globe

360.20  Degenerative disorder of globe, unspecified

360.21  Progressive high (degenerative) myopia

Malignant myopia

360.23  Siderosis

360.24  Other metallosis

Chalcosis

360.29  Other

Excludes: xerophthalmia (264.7)

360.3    Hypotony of eye

360.30  Hypotony, unspecified

360.31  Primary hypotony

360.32  Ocular fistula causing hypotony

360.33  Hypotony associated with other ocular disorders

360.34  Flat anterior chamber

360.4    Degenerated conditions of globe

360.40  Degenerated globe or eye, unspecified

360.41  Blind hypotensive eye

Atrophy of globe

Phthisis bulbi

360.42  Blind hypertensive eye

Absolute glaucoma

360.43  Hemophthalmos, except current injury

Excludes: traumatic (871.0-871.9, 921.0-921.9)

360.44  Leucocoria

360.5    Retained (old) intraocular foreign body, magnetic

Use additional code to identify foreign body (V90.11)

Excludes: current penetrating injury with magnetic foreign body (871.5)

retained (old) foreign body of orbit (376.6)

360.50  Foreign body, magnetic, intraocular, unspecified

360.51  Foreign body, magnetic, in anterior chamber

360.52  Foreign body, magnetic, in iris or ciliary body

360.53  Foreign body, magnetic, in lens

360.54  Foreign body, magnetic, in vitreous

360.55  Foreign body, magnetic, in posterior wall

360.59  Foreign body, magnetic, in other or multiple sites

360.6    Retained (old) intraocular foreign body, nonmagnetic

Retained (old) foreign body:

NOS

nonmagnetic

Use additional code to identify foreign body (V90.01-V90.10, V90.12, V90.2-V90.9)

Excludes: current penetrating injury with (nonmagnetic) foreign body (871.6)

retained (old) foreign body in orbit (376.6)

360.60  Foreign body, intraocular, unspecified

360.61  Foreign body in anterior chamber

360.62  Foreign body in iris or ciliary body

360.63  Foreign body in lens

360.64  Foreign body in vitreous

360.65  Foreign body in posterior wall

360.69  Foreign body in other or multiple sites

360.8    Other disorders of globe

360.81  Luxation of globe

360.89  Other

360.9    Unspecified disorder of globe

361       Retinal detachments and defects

361.0    Retinal detachment with retinal defect

Rhegmatogenous retinal detachment

Excludes: detachment of retinal pigment epithelium (362.42-362.43)

retinal detachment (serous) (without defect) (361.2)

361.00  Retinal detachment with retinal defect, unspecified

361.01  Recent detachment, partial, with single defect

361.02  Recent detachment, partial, with multiple defects

361.03  Recent detachment, partial, with giant tear

361.04  Recent detachment, partial, with retinal dialysis

Dialysis (juvenile) of retina (with detachment)

361.05  Recent detachment, total or subtotal

361.06  Old detachment, partial

Delimited old retinal detachment

361.07  Old detachment, total or subtotal

361.1    Retinoschisis and retinal cysts

Excludes: juvenile retinoschisis (362.73)

microcystoid degeneration of retina (362.62)

parasitic cyst of retina (360.13)

361.10  Retinoschisis, unspecified

361.11  Flat retinoschisis

361.12  Bullous retinoschisis

361.13  Primary retinal cysts

361.14  Secondary retinal cysts

361.19  Other

Pseudocyst of retina

361.2    Serous retinal detachment

Retinal detachment without retinal defect

Excludes: central serous retinopathy (362.41)

retinal pigment epithelium detachment (362.42-362.43)

361.3    Retinal defects without detachment

Excludes: chorioretinal scars after surgery for detachment (363.30-363.35)

peripheral retinal degeneration without defect (362.60-362.66)

361.30  Retinal defect, unspecified

Retinal break(s) NOS

361.31  Round hole of retina without detachment

361.32  Horseshoe tear of retina without detachment

Operculum of retina without mention of detachment

361.33  Multiple defects of retina without detachment

361.8    Other forms of retinal detachment

361.81  Traction detachment of retina

Traction detachment with vitreoretinal organization

361.89  Other

361.9    Unspecified retinal detachment

362       Other retinal disorders

Excludes:    chorioretinal scars (363.30-363.35)

chorioretinitis (363.0-363.2)

362.0    Diabetic retinopathy

Code first diabetes (249.5, 250.5)

362.01  Background diabetic retinopathy

Diabetic retinal microaneurysms

Diabetic retinopathy NOS

362.02  Proliferative diabetic retinopathy

362.03  Nonproliferative diabetic retinopathy NOS

362.04  Mild nonproliferative diabetic retinopathy

362.05  Moderate nonproliferative diabetic retinopathy

362.06  Severe nonproliferative diabetic retinopathy

362.07  Diabetic macular edema

Diabetic retinal edema

Note: Code 362.07 must be used with a code for diabetic retinopathy (362.01-362.06)

362.1    Other background retinopathy and retinal vascular changes

362.10  Background retinopathy, unspecified

362.11  Hypertensive retinopathy

362.12  Exudative retinopathy

Coats' syndrome

362.13  Changes in vascular appearance

Vascular sheathing of retina

Use additional code for any associated atherosclerosis (440.8)

362.14  Retinal microaneurysms NOS

362.15  Retinal telangiectasia

362.16  Retinal neovascularization NOS

Neovascularization:

choroidal

subretinal

362.17  Other intraretinal microvascular abnormalities

Retinal varices

362.18  Retinal vasculitis

Eales' disease

Retinal:

arteritis

endarteritis

perivasculitis

phlebitis

362.2    Other proliferative retinopathy

362.20  Retinopathy of prematurity, unspecified

Retinopathy of prematurity NOS

362.21  Retrolental fibroplasia

Cicatricial retinopathy of prematurity

362.22  Retinopathy of prematurity, stage 0

362.23  Retinopathy of prematurity, stage 1

362.24  Retinopathy of prematurity, stage 2

362.25  Retinopathy of prematurity, stage 3

362.26  Retinopathy of prematurity, stage 4

362.27  Retinopathy of prematurity, stage 5

362.29  Other nondiabetic proliferative retinopathy

362.3    Retinal vascular occlusion

362.30  Retinal vascular occlusion, unspecified

362.31  Central retinal artery occlusion

362.32  Arterial branch occlusion

362.33  Partial arterial occlusion

Hollenhorst plaque

Retinal microembolism

362.34  Transient arterial occlusion

Amaurosis fugax

362.35  Central retinal vein occlusion

362.36  Venous tributary (branch) occlusion

362.37  Venous engorgement

Occlusion:

of retinal vein

incipient of retinal vein

partial of retinal vein

362.4    Separation of retinal layers

Excludes: retinal detachment (serous) (361.2)

rhegmatogenous (361.00-361.07)

362.40  Retinal layer separation, unspecified

362.41  Central serous retinopathy

362.42  Serous detachment of retinal pigment epithelium

Exudative detachment of retinal pigment epithelium

362.43  Hemorrhagic detachment of retinal pigment epithelium

362.5    Degeneration of macula and posterior pole

Excludes: degeneration of optic disc (377.21-377.24)

hereditary retinal degeneration [dystrophy] (362.70-362.77)

362.50  Macular degeneration (senile), unspecified

362.51  Nonexudative senile macular degeneration

Senile macular degeneration:

atrophic

dry

362.52  Exudative senile macular degeneration

Kuhnt-Junius degeneration

Senile macular degeneration:

disciform

wet

362.53  Cystoid macular degeneration

Cystoid macular edema

362.54  Macular cyst, hole, or pseudohole

362.55  Toxic maculopathy

Use additional E to identify drug, if drug induced

362.56  Macular puckering

Preretinal fibrosis

362.57  Drusen (degenerative)

362.6    Peripheral retinal degenerations

Excludes: hereditary retinal degeneration [dystrophy] (362.70-362.77)

retinal degeneration with retinal defect (361.00-361.07)

362.60  Peripheral retinal degeneration, unspecified

362.61  Paving stone degeneration

362.62  Microcystoid degeneration

Blessig's cysts

Iwanoff's cysts

362.63  Lattice degeneration

Palisade degeneration of retina

362.64  Senile reticular degeneration

362.65  Secondary pigmentary degeneration

Pseudoretinitis pigmentosa

362.66  Secondary vitreoretinal degenerations

362.7    Hereditary retinal dystrophies

362.70  Hereditary retinal dystrophy, unspecified

362.71  Retinal dystrophy in systemic or cerebroretinal lipidoses

Code first underlying disease, as:

cerebroretinal lipidoses (330.1)

systemic lipidoses (272.7)

362.72  Retinal dystrophy in other systemic disorders and syndromes

Code first underlying disease, as:

Bassen-Kornzweig syndrome (272.5)

Refsum's disease (356.3)

362.73  Vitreoretinal dystrophies

Juvenile retinoschisis

362.74  Pigmentary retinal dystrophy

Retinal dystrophy, albipunctate

Retinitis pigmentosa

362.75  Other dystrophies primarily involving the sensory retina

Progressive cone (-rod) dystrophy

Stargardt's disease

362.76  Dystrophies primarily involving the retinal pigment epithelium

Fundus flavimaculatus

Vitelliform dystrophy

362.77  Dystrophies primarily involving Bruch's membrane

Dystrophy:

hyaline

pseudoinflammatory foveal

Hereditary drusen

362.8    Other retinal disorders

Excludes: chorioretinal inflammations (363.0-363.2)

chorioretinal scars (363.30-363.35)

362.81  Retinal hemorrhage

Hemorrhage:

preretinal

retinal (deep) (superficial)

subretinal

362.82  Retinal exudates and deposits

362.83  Retinal edema

Retinal:

cotton wool spots

edema (localized) (macular) (peripheral)

362.84  Retinal ischemia

362.85  Retinal nerve fiber bundle defects

362.89  Other retinal disorders

362.9    Unspecified retinal disorder

363       Chorioretinal inflammations, scars, and other disorders of choroid

363.0    Focal chorioretinitis and focal retinochoroiditis

Excludes: focal chorioretinitis or retinochoroiditis in:

histoplasmosis (115.02, 115.12, 115.92)

toxoplasmosis (130.2)

congenital infection (771.2)

363.00  Focal chorioretinitis, unspecified

Focal:

choroiditis or chorioretinitis NOS

retinitis or retinochoroiditis NOS

363.01  Focal choroiditis and chorioretinitis, juxtapapillary

363.03  Focal choroiditis and chorioretinitis of other posterior pole

363.04  Focal choroiditis and chorioretinitis, peripheral

363.05  Focal retinitis and retinochoroiditis, juxtapapillary

Neuroretinitis

363.06  Focal retinitis and retinochoroiditis, macular or paramacular

363.07  Focal retinitis and retinochoroiditis of other posterior pole

363.08  Focal retinitis and retinochoroiditis, peripheral

363.1    Disseminated chorioretinitis and disseminated retinochoroiditis

Excludes: disseminated choroiditis or chorioretinitis in secondary syphilis (091.51)

neurosyphilitic disseminated retinitis or retinochoroiditis (094.83)

retinal (peri)vasculitis (362.18)

363.10  Disseminated chorioretinitis, unspecified

Disseminated:

choroiditis or chorioretinitis NOS

retinitis or retinochoroiditis NOS

363.11  Disseminated choroiditis and chorioretinitis, posterior pole

363.12  Disseminated choroiditis and chorioretinitis, peripheral

363.13  Disseminated choroiditis and chorioretinitis, generalized

Code first any underlying disease, as:

tuberculosis (017.3)

363.14  Disseminated retinitis and retinochoroiditis, metastatic

363.15  Disseminated retinitis and retinochoroiditis, pigment epitheliopathy

Acute posterior multifocal placoid pigment epitheliopathy

363.2    Other and unspecified forms of chorioretinitis and retinochoroiditis

Excludes: panophthalmitis (360.02)

sympathetic uveitis (360.11)

uveitis NOS (364.3)

363.20  Chorioretinitis, unspecified

Choroiditis NOS

Retinitis NOS

Uveitis, posterior NOS

363.21  Pars planitis

Posterior cyclitis

363.22  Harada's disease

363.3    Chorioretinal scars

Scar (postinflammatory) (postsurgical) (posttraumatic):

choroid

retina

363.30  Chorioretinal scar, unspecified

363.31  Solar retinopathy

363.32  Other macular scars

363.33  Other scars of posterior pole

363.34  Peripheral scars

363.35  Disseminated scars

363.4    Choroidal degenerations

363.40  Choroidal degeneration, unspecified

Choroidal sclerosis NOS

363.41  Senile atrophy of choroid

363.42  Diffuse secondary atrophy of choroid

363.43  Angioid streaks of choroid

363.5    Hereditary choroidal dystrophies

Hereditary choroidal atrophy:

partial [choriocapillaris]

total [all vessels]

363.50  Hereditary choroidal dystrophy or atrophy, unspecified

363.51  Circumpapillary dystrophy of choroid, partial

363.52  Circumpapillary dystrophy of choroid, total

Helicoid dystrophy of choroid

363.53  Central dystrophy of choroid, partial

Dystrophy, choroidal:

central areolar

circinate

363.54  Central choroidal atrophy, total

Dystrophy, choroidal:

central gyrate

serpiginous

363.55  Choroideremia

363.56  Other diffuse or generalized dystrophy, partial

Diffuse choroidal sclerosis

363.57  Other diffuse or generalized dystrophy, total

Generalized gyrate atrophy, choroid

363.6    Choroidal hemorrhage and rupture

363.61  Choroidal hemorrhage, unspecified

363.62  Expulsive choroidal hemorrhage

363.63  Choroidal rupture

363.7    Choroidal detachment

363.70  Choroidal detachment, unspecified

363.71  Serous choroidal detachment

363.72  Hemorrhagic choroidal detachment

363.8    Other disorders of choroid

363.9    Unspecified disorder of choroid

364       Disorders of iris and ciliary body

364.0    Acute and subacute iridocyclitis

Anterior uveitis, acute, subacute

Cyclitis, acute, subacute

Iridocyclitis, acute, subacute

Iritis, acute, subacute

Excludes: gonococcal (098.41)

herpes simplex (054.44)

herpes zoster (053.22)

364.00  Acute and subacute iridocyclitis, unspecified

364.01  Primary iridocyclitis

364.02  Recurrent iridocyclitis

364.03  Secondary iridocyclitis, infectious

364.04  Secondary iridocyclitis, noninfectious

Aqueous:

cells

fibrin

flare

364.05  Hypopyon

364.1    Chronic iridocyclitis

Excludes: posterior cyclitis (363.21)

364.10  Chronic iridocyclitis, unspecified

364.11  Chronic iridocyclitis in diseases classified elsewhere

Code first underlying disease, as:

sarcoidosis (135)

tuberculosis (017.3)

Excludes: syphilitic iridocyclitis (091.52)

364.2    Certain types of iridocyclitis

Excludes: posterior cyclitis (363.21)

sympathetic uveitis (360.11)

364.21  Fuchs' heterochromic cyclitis

364.22  Glaucomatocyclitic crises

364.23  Lens-induced iridocyclitis

364.24  Vogt-Koyanagi syndrome

364.3    Unspecified iridocyclitis

Uveitis NOS

364.4    Vascular disorders of iris and ciliary body

364.41  Hyphema

Hemorrhage of iris or ciliary body

364.42  Rubeosis iridis

Neovascularization of iris or ciliary body

364.5    Degenerations of iris and ciliary body

364.51  Essential or progressive iris atrophy

364.52  Iridoschisis

364.53  Pigmentary iris degeneration

Acquired heterochromia of iris

Pigment dispersion syndrome of iris

Translucency of iris

364.54  Degeneration of pupillary margin

Atrophy of sphincter of iris

Ectropion of pigment epithelium of iris

364.55  Miotic cysts of pupillary margin

364.56  Degenerative changes of chamber angle

364.57  Degenerative changes of ciliary body

364.59  Other iris atrophy

Iris atrophy (generalized) (sector shaped)

364.6    Cysts of iris, ciliary body, and anterior chamber

Excludes: miotic pupillary cyst (364.55)

parasitic cyst (360.13)

364.60  Idiopathic cysts

364.61  Implantation cysts

Epithelial down-growth, anterior chamber

Implantation cysts (surgical) (traumatic)

364.62  Exudative cysts of iris or anterior chamber

364.63  Primary cyst of pars plana

364.64  Exudative cyst of pars plana

364.7    Adhesions and disruptions of iris and ciliary body

Excludes: flat anterior chamber (360.34)

364.70  Adhesions of iris, unspecified

Synechiae (iris) NOS

364.71  Posterior synechiae

364.72  Anterior synechiae

364.73  Goniosynechiae

Peripheral anterior synechiae

364.74  Pupillary membranes

Iris bombé

Pupillary:

occlusion

seclusion

364.75  Pupillary abnormalities

Deformed pupil

Ectopic pupil

Rupture of sphincter, pupil

364.76  Iridodialysis

364.77  Recession of chamber angle

364.8    Other disorders of iris and ciliary body

364.81  Floppy iris syndrome

Intraoperative floppy iris syndrome (IFIS)

Use additional E code to identify cause, such as:

sympatholytics [antiadrenergics] causing adverse effect in therapeutic use (E941.3)

364.82  Plateau iris syndrome

364.89  Other disorders of iris and ciliary body

Prolapse of iris NOS

Excludes: prolapse of iris in recent wound (871.1)

364.9    Unspecified disorder of iris and ciliary body

365       Glaucoma

Excludes:    blind hypertensive eye [absolute glaucoma] (360.42)

congenital glaucoma (743.20-743.22)

365.0    Borderline glaucoma [glaucoma suspect]

365.00  Preglaucoma, unspecified

365.01  Open angle with borderline findings, low risk

Open angle, low risk

365.02  Anatomical narrow angle

Primary angle closure suspect

365.03  Steroid responders

365.04  Ocular hypertension

365.05  Open angle with borderline findings, high risk

Open angle, high risk

365.06  Primary angle closure without glaucoma damage

365.1    Open-angle glaucoma

365.10  Open-angle glaucoma, unspecified

Wide-angle glaucoma NOS

Use additional code to identify glaucoma stage (365.70-365.74)

365.11  Primary open angle glaucoma

Chronic simple glaucoma

Use additional code to identify glaucoma stage (365.70-365.74)

365.12  Low tension glaucoma

Use additional code to identify glaucoma stage (365.70-365.74)

365.13  Pigmentary glaucoma

Use additional code to identify glaucoma stage (365.70-365.74)

365.14  Glaucoma of childhood

Infantile or juvenile glaucoma

365.15  Residual stage of open angle glaucoma

365.2    Primary angle-closure glaucoma

365.20  Primary angle-closure glaucoma, unspecified

Use additional code to identify glaucoma stage (365.70-365.74)

365.21  Intermittent angle-closure glaucoma

Angle-closure glaucoma:

interval

subacute

365.22  Acute angle-closure glaucoma

Acute angle-closure glaucoma attack

Acute angle-closure glaucoma crisis

365.23  Chronic angle-closure glaucoma

Chronic primary angle closure glaucoma

Use additional code to identify glaucoma stage (365.70-365.74)

365.24  Residual stage of angle-closure glaucoma

365.3    Corticosteroid-induced glaucoma

365.31  Glaucomatous stage

Use additional code to identify glaucoma stage (365.70-365.74)

365.32  Residual stage

365.4    Glaucoma associated with congenital anomalies, dystrophies, and systemic syndromes

365.41  Glaucoma associated with chamber angle anomalies

365.42  Glaucoma associated with anomalies of iris

365.43  Glaucoma associated with other anterior segment anomalies

365.44  Glaucoma associated with systemic syndromes

Code first associated disease, as:

neurofibromatosis (237.70-237.79)

Sturge-Weber (-Dimitri) syndrome (759.6)

365.5    Glaucoma associated with disorders of the lens

365.51  Phacolytic glaucoma

365.52  Pseudoexfoliation glaucoma

Use additional code to identify glaucoma stage (365.70-365.74)

365.59  Glaucoma associated with other lens disorders

365.6    Glaucoma associated with other ocular disorders

365.60  Glaucoma associated with unspecified ocular disorder

365.61  Glaucoma associated with pupillary block

365.62  Glaucoma associated with ocular inflammations

Use additional code to identify glaucoma stage (365.70-365.74)

365.63  Glaucoma associated with vascular disorders

Use additional code to identify glaucoma stage (365.70-365.74)

365.64  Glaucoma associated with tumors or cysts

365.65  Glaucoma associated with ocular trauma

Use additional code to identify glaucoma stage (365.70-365.74)

365.7    Glaucoma stage

Code first associated type of glaucoma (365.10-365.13, 365.20, 365.23, 365.31, 365.52, 365.62-365.63, 365.65)

365.70  Glaucoma stage, unspecified

Glaucoma stage NOS

365.71  Mild stage glaucoma

Early stage glaucoma

365.72  Moderate stage glaucoma

365.73  Severe stage glaucoma

Advanced stage glaucoma

End-stage glaucoma

365.74  Indeterminate stage glaucoma

365.8    Other specified forms of glaucoma

365.81  Hypersecretion glaucoma

365.82  Glaucoma with increased episcleral venous pressure

365.83  Aqueous misdirection

Malignant glaucoma

365.89  Other specified glaucoma

365.9    Unspecified glaucoma

366       Cataract

Excludes:    congenital cataract (743.30-743.34)

366.0    Infantile, juvenile, and presenile cataract

366.00  Nonsenile cataract, unspecified

366.01  Anterior subcapsular polar cataract

366.02  Posterior subcapsular polar cataract

366.03  Cortical, lamellar, or zonular cataract

366.04  Nuclear cataract

366.09  Other and combined forms of nonsenile cataract

366.1    Senile cataract

366.10  Senile cataract, unspecified

366.11  Pseudoexfoliation of lens capsule

366.12  Incipient cataract

Cataract:

coronary

immature NOS

punctate

Water clefts

366.13  Anterior subcapsular polar senile cataract

366.14  Posterior subcapsular polar senile cataract

366.15  Cortical senile cataract

366.16  Nuclear sclerosis

Cataracta brunescens

Nuclear cataract

366.17  Total or mature cataract

366.18  Hypermature cataract

Morgagni cataract

366.19  Other and combined forms of senile cataract

366.2    Traumatic cataract

366.20  Traumatic cataract, unspecified

366.21  Localized traumatic opacities

Vossius' ring

366.22  Total traumatic cataract

366.23  Partially resolved traumatic cataract

366.3    Cataract secondary to ocular disorders

366.30  Cataracta complicata, unspecified

366.31  Glaucomatous flecks (subcapsular)

Code first underlying glaucoma (365.0-365.9)

366.32  Cataract in inflammatory disorders

Code first underlying condition, as:

chronic choroiditis (363.0-363.2)

366.33  Cataract with neovascularization

Code first underlying condition, as:

chronic iridocyclitis (364.10)

366.34  Cataract in degenerative disorders

Sunflower cataract

Code first underlying condition, as:

chalcosis (360.24)

degenerative myopia (360.21)

pigmentary retinal dystrophy (362.74)

366.4    Cataract associated with other disorders

366.41  Diabetic cataract

Code first diabetes (249.5, 250.5)

366.42  Tetanic cataract

Code first underlying disease as:

calcinosis (275.40)

hypoparathyroidism (252.1)

366.43  Myotonic cataract

Code first underlying disorder (359.21, 359.23)

366.44  Cataract associated with other syndromes

Code first underlying condition, as:

craniofacial dysostosis (756.0)

galactosemia (271.1)

366.45  Toxic cataract

Drug-induced cataract

Use additional E to identify drug or other toxic substance

366.46  Cataract associated with radiation and other physical influences

Use additional E to identify cause

366.5    After-cataract

366.50  After-cataract, unspecified

Secondary cataract NOS

366.51  Soemmering's ring

366.52  Other after-cataract, not obscuring vision

366.53  After-cataract, obscuring vision

366.8    Other cataract

Calcification of lens

366.9    Unspecified cataract

367       Disorders of refraction and accommodation

367.0    Hypermetropia

Far-sightedness

Hyperopia

367.1    Myopia

Near-sightedness

367.2    Astigmatism

367.20  Astigmatism, unspecified

367.21  Regular astigmatism

367.22  Irregular astigmatism

367.3    Anisometropia and aniseikonia

367.31  Anisometropia

367.32  Aniseikonia

367.4    Presbyopia

367.5    Disorders of accommodation

367.51  Paresis of accommodation

Cycloplegia

367.52  Total or complete internal ophthalmoplegia

367.53  Spasm of accommodation

367.8    Other disorders of refraction and accommodation

367.81  Transient refractive change

367.89  Other

Drug-induced disorders of refraction and accommodation

Toxic disorders of refraction and accommodation

367.9    Unspecified disorder of refraction and accommodation

368       Visual disturbances

Excludes:    electrophysiological disturbances (794.11-794.14)

368.0    Amblyopia ex anopsia

368.00  Amblyopia, unspecified

368.01  Strabismic amblyopia

Suppression amblyopia

368.02  Deprivation amblyopia

368.03  Refractive amblyopia

368.1    Subjective visual disturbances

368.10  Subjective visual disturbance, unspecified

368.11  Sudden visual loss

368.12  Transient visual loss

Concentric fading

Scintillating scotoma

368.13  Visual discomfort

Asthenopia

Eye strain

Photophobia

368.14  Visual distortions of shape and size

Macropsia

Metamorphopsia

Micropsia

368.15  Other visual distortions and entoptic phenomena

Photopsia

Refractive:

diplopia

polyopia

Visual halos

368.16  Psychophysical visual disturbances

Prosopagnosia

Visual:

agnosia

disorientation syndrome

hallucinations

object agnosia

368.2    Diplopia

Double vision

368.3    Other disorders of binocular vision

368.30  Binocular vision disorder, unspecified

368.31  Suppression of binocular vision

368.32  Simultaneous visual perception without fusion

368.33  Fusion with defective stereopsis

368.34  Abnormal retinal correspondence

368.4    Visual field defects

368.40  Visual field defect, unspecified

368.41  Scotoma involving central area

Scotoma:

central

centrocecal

paracentral

368.42  Scotoma of blind spot area

Enlarged:

angioscotoma

blind spot

Paracecal scotoma

368.43  Sector or arcuate defects

Scotoma:

arcuate

Bjerrum

Seidel

368.44  Other localized visual field defect

Scotoma:

NOS

ring

Visual field defect:

nasal step

peripheral

368.45  Generalized contraction or constriction

368.46  Homonymous bilateral field defects

Hemianopsia (altitudinal) (homonymous)

Quadrant anopia

368.47  Heteronymous bilateral field defects

Hemianopsia:

binasal

bitemporal

368.5    Color vision deficiencies

Color blindness

368.51  Protan defect

Protanomaly

Protanopia

368.52  Deutan defect

Deuteranomaly

Deuteranopia

368.53  Tritan defect

Tritanomaly

Tritanopia

368.54  Achromatopsia

Monochromatism (cone) (rod)

368.55  Acquired color vision deficiencies

368.59  Other color vision deficiencies

368.6    Night blindness

368.60  Night blindness, unspecified

368.61  Congenital night blindness

Hereditary night blindness

Oguchi's disease

368.62  Acquired night blindness

Excludes: that due to vitamin A deficiency (264.5)

368.63  Abnormal dark adaptation curve

Abnormal threshold of cones or rods

Delayed adaptation of cones or rods

368.69  Other night blindness

368.8    Other specified visual disturbances

Blurred vision NOS

368.9    Unspecified visual disturbance

369       Blindness and low vision

Excludes:    correctable impaired vision due to refractive errors (367.0-367.9)

Note:    Visual impairment refers to a functional limitation of the eye (e.g., limited visual acuity or visual field). It should be distinguished from visual disability, indicating a limitation of the abilities of the individual (e.g., limited reading skills, vocational skills), and from visual handicap, indicating a limitation of personal and socioeconomic independence (e.g., limited mobility, limited employability).

The levels of impairment defined in the table after 369.9 are based on the recommendations of the WHO Study Group on Prevention of Blindness (Geneva, November 6-10, 1972; WHO Technical Report Series 518), and of the International Council of Ophthalmology (1976).

Note that definitions of blindness vary in different settings.

For international reporting, WHO defines blindness as profound impairment. This definition can be applied to blindness of one eye (369.1, 369.6) and to blindness of the individual (369.0).

For determination of benefits in the U.S.A., the definition of legal blindness as severe impairment is often used.  This definition applies to blindness of the individual only.

369.0    Profound impairment, both eyes

369.00  Impairment level not further specified

Blindness:

NOS according to WHO definition

both eyes

369.01  Better eye:  total impairment; lesser eye:  total impairment

369.02  Better eye:  near-total impairment; lesser eye:  not further specified

369.03  Better eye:  near-total impairment; lesser eye:  total impairment

369.04  Better eye:  near-total impairment; lesser eye:  near-total impairment

369.05  Better eye:  profound impairment; lesser eye:  not further specified

369.06  Better eye:  profound impairment; lesser eye:  total impairment

369.07  Better eye:  profound impairment; lesser eye:  near-total impairment

369.08  Better eye:  profound impairment; lesser eye:  profound impairment

369.1    Moderate or severe impairment, better eye, profound impairment lesser eye

369.10  Impairment level not further specified

Blindness, one eye, low vision other eye

369.11  Better eye:  severe impairment; lesser eye:  blind, not further specified

369.12  Better eye:  severe impairment; lesser eye:  total impairment

369.13  Better eye:  severe impairment; lesser eye:  near-total impairment

369.14  Better eye:  severe impairment; lesser eye:  profound impairment

369.15  Better eye:  moderate impairment; lesser eye:  blind, not further specified

369.16  Better eye:  moderate impairment; lesser eye:  total impairment

369.17  Better eye:  moderate impairment; lesser eye:  near-total impairment

369.18  Better eye:  moderate impairment; lesser eye:  profound impairment

369.2    Moderate or severe impairment, both eyes

369.20  Impairment level not further specified

Low vision, both eyes NOS

369.21  Better eye:  severe impairment; lesser eye:  not further specified

369.22  Better eye:  severe impairment; lesser eye:  severe impairment

369.23  Better eye:  moderate impairment; lesser eye:  not further specified

369.24  Better eye:  moderate impairment; lesser eye:  severe impairment

369.25  Better eye:  moderate impairment; lesser eye:  moderate impairment

369.3    Unqualified visual loss, both eyes

Excludes: blindness NOS:

legal [U.S.A. definition] (369.4)

WHO definition (369.00)

369.4    Legal blindness, as defined in U.S.A.

Blindness NOS according to U.S.A. definition

Excludes: legal blindness with specification of impairment level (369.01-369.08, 369.11-369.14, 369.21-369.22)

369.6    Profound impairment, one eye

369.60  Impairment level not further specified

Blindness, one eye

369.61  One eye:  total impairment; other eye:  not specified

369.62  One eye:  total impairment; other eye:  near-normal vision

369.63  One eye:  total impairment; other eye:  normal vision

369.64  One eye:  near-total impairment; other eye:  not specified

369.65  One eye:  near-total impairment; other eye:  near-normal vision

369.66  One eye:  near-total impairment; other eye:  normal vision

369.67  One eye:  profound impairment; other eye:  not specified

369.68  One eye:  profound impairment; other eye:  near-normal vision

369.69  One eye:  profound impairment; other eye:  normal vision

369.7    Moderate or severe impairment, one eye

369.70  Impairment level not further specified

Low vision, one eye

369.71  One eye:  severe impairment; other eye:  not specified

369.72  One eye:  severe impairment; other eye:  near-normal vision

369.73  One eye:  severe impairment; other eye:  normal vision

369.74  One eye:  moderate impairment; other eye:  not specified

369.75  One eye:  moderate impairment; other eye:  near-normal vision

369.76  One eye:  moderate impairment; other eye:  normal vision

369.8    Unqualified visual loss, one eye

369.9    Unspecified visual loss

----------------------------------------------------------------------
                   |                                   |  Additional
Classification     |   LEVELS OF VISUAL IMPAIRMENT     |   descriptors
-------------------------------------------------------|   which may
        |          | Visual acuity and/or visual field |   be en-
"legal" |  WHO     |  limitation (whichever is worse)  |   countered
--------|----------|-----------------------------------|--------------
        |          |                                   |
        |          |     RANGE OF NORMAL VISION        |
        |          | 20/10  20/13  20/16  20/20  20/25 |
        | (NEAR-)  |  2.0    1.6    1.25   1.0    0.8  |
        | NORMAL   |-----------------------------------|--------------
        | VISION   |                                   |
        |          |     NEAR-NORMAL VISION            |
        |          |        20/30  20/40  20/50  20/60 |
        |          |  0.7    0.6    0.5    0.4    0.3  |
        |----------|-----------------------------------|--------------
        |          |     MODERATE VISUAL IMPAIRMENT    |
        |          | 20/70  20/80  20/100 20/125 20/160| Moderate 
        | LOW      |         0.25   0.20   0.16   0.12 |    low vision
--------| VISION   |-----------------------------------|--------------
        |          |     SEVERE VISUAL IMPAIRMENT      | Severe
        |          | 20/200 20/250 20/320 20/400       |    low vision,
        |          |  0.10   0.08   0.06   0.05        | "Legal"
        |          | Visual field: 20 degrees or less  |    blindness
        |----------|-----------------------------------|--------------
LEGAL   |          |      PROFOUND VISUAL IMPAIRMENT   | Profound
BLIND-  |          | 20/500 20/630 20/800 20/1000      |    low vision,
NESS    |          |  0.04   0.03   0.025  0.02        | Moderate
(U.S.A.)|          |                                   |    blindness
        | BLINDNESS|  Count fingers at: less than 3m   |
        |          |                        (10 ft)    |
        |          |  Visual field: 10 degrees or less |   
        |          |-----------------------------------|--------------
        |          |    NEAR-TOTAL VISUAL IMPAIRMENT   | Severe
        |          | Visual acuity: less than 0.02     |    blindness,
        |          |                   (20/1000)       |
        |          |                                   |
both    |  (WHO)   | Count fingers: 1m (3 ft) or less  |
eyes    |          | Hand movements: 5m (15 ft) or less| Near-total
        |  one or  | Light projection, light perception|    blindness
        |  both    | Visual field: 5 degrees or less   |
        |  eyes    |-----------------------------------|--------------
        |          |    TOTAL VISUAL IMPAIRMENT        | Total
        |          | No light perception (NLP)         |    blindness
--------|----------|--------------------------------------------------  
Visual acuity refers to best achievable acuity with correction.

Non-listed Snellen fractions may be classified by converting to the nearest decimal equivalent, e.g. 10/200 = 0.05, 6/30 = 0.20.

CF (count fingers) without designation of distance, may be classified to profound impairment.

HM (hand motion) without designation of distance, may be classified to near-total impairment.

Visual field measurements refer to the largest field diameter for a 1/100 white test object.