Question Diabetes, Posterior Capsule Opacity

ajanz54

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How is this coded? Would it be E11.36 because the PCO is considered secondary cataract
Diabetes
Posterior capsule opacity
 

Cheezum51

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No. H26.49 is the base code you use with additional digits for the eye(s) involved. In most cases, unless the diabetes is uncontrolled for a long period of time, the posterior capsule opacity isn't related to the diabetes.

The code you mention above is used when a patient's diabetes is uncontrolled and they develop an initial cataract as a result of that and doesn't have anything to do with the posterior capsule opacity.

Tom Cheezum, OD, CPC, COPC
 
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