Icd 10 lattice degeneration12/18/2023 ![]() Uncontrolled glaucoma or glaucoma suspect or.Systemic disorders associated with retinal pathology or.Symptoms suggestive of retinal defect or.Suspected endophthalmitis as evidenced by severe pain, redness, photophobia, and profound loss of vision or.Sudden visual loss or transient visual loss or.Retinal hemorrhage, ischemia, exudates and deposits, hereditary retinal dystrophies or peripheral retinal degeneration or.Retinal detachment, with or without retinal defect or.Retinal defects without retinal detachment or.Retained (old) intra-ocular foreign body, either magnetic or non-magnetic or.Penetrating wound to the orbit resulting in the retention of a foreign body in the eye or.Optic atrophy associated with a progressive and potentially reversible cause (e.g., glaucoma) or.Malignant neoplasm of the retina or choroid or.High-risk medication for retinopathy or optic neuropathy or.High axial length myopia (-6.00 Diopters or less ) or.Disorders of the vitreous body (i.e., vitreous hemorrhage or posterior vitreous detachment) or.Diabetic retinopathy (i.e., background retinopathy or proliferative retinopathy retinal vascular occlusion, or separation of the retinal layers) or.Degenerative disorders of the globe or.Choroidal nevus being evaluated for malignant transformation or.Chorioretinitis, chorioretinal scars or choroidal degeneration, dystrophies, hemorrhage and rupture, or detachment or.Blunt injury to the eye or periorbital structures or.This Clinical Policy Bulletin addresses extended ophthalmoscopy.Īetna considers extended ophthalmoscopy with a detailed retinal drawing for evaluation of the posterior portion of the eye following routine ophthalmoscopy medically necessary for any of the following indications: Number: 0767 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References ![]()
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