Michelle Steinke asked:
I am studying my practice exam for the CPC. I had a question:
An 89-year-old patient who has significant partial opacities in the lens of the left eye presents for phacoemulsification and lens implantation. What ICD-10-CM code is reported?
The answer says H26.9 - unspecified cataract
Why would it not be H25.9 - unspecified age-related cataract (since the patient is 89 years old?)
TIA
Michelle Steinke
Answer:
Schuyler Connell wrote: is this from one of our practice exams? If so; which version? In a perfect world; the provider would document if the cataract was aged related or not. As coders; we are not able to assume anything unless it is documented by them. This could be a possible query if there were other clinical indicators. Since they did not document it that way; we must follow our guidelines; therefore; the correct answer is H26.9 (unspecified cataract). Does that answer your question?
I am studying my practice exam for the CPC. I had a question:
An 89-year-old patient who has significant partial opacities in the lens of the left eye presents for phacoemulsification and lens implantation. What ICD-10-CM code is reported?
The answer says H26.9 - unspecified cataract
Why would it not be H25.9 - unspecified age-related cataract (since the patient is 89 years old?)
TIA
Michelle Steinke
Answer:
Schuyler Connell wrote: is this from one of our practice exams? If so; which version? In a perfect world; the provider would document if the cataract was aged related or not. As coders; we are not able to assume anything unless it is documented by them. This could be a possible query if there were other clinical indicators. Since they did not document it that way; we must follow our guidelines; therefore; the correct answer is H26.9 (unspecified cataract). Does that answer your question?
Last edited: