Code: H52.03
Description: Hypermetropia, bilateral
Context: This code is used for cases where a patient is diagnosed with hypermetropia (farsightedness) in both eyes.
Guidelines for Proper Use
- Specific Diagnosis for Both Eyes: Apply H52.03 when a patient is diagnosed with hypermetropia affecting both eyes. This condition is characterized by difficulty focusing on close objects while distant objects are seen more clearly.
- Accurate Documentation: Ensure that the healthcare provider’s documentation clearly indicates a diagnosis of hypermetropia in both eyes. The diagnosis should be based on an eye examination.
- Exclusion of Other Eye Conditions: Do not use H52.03 for other refractive errors or eye conditions, such as myopia (nearsightedness) or astigmatism, even if they affect both eyes.
- Differentiating from Unilateral Hypermetropia: Be cautious not to use H52.03 for cases where only one eye is affected by hypermetropia. Unilateral hypermetropia has a different ICD-10 code.
- Compliance with Coding Standards: Utilize H52.03 in line with clinical documentation and adhere to relevant coding guidelines, including payer-specific requirements.
Common Misuses of H52.03
- Use for Unilateral Hypermetropia: Misuse occurs when H52.03 is used for patients with hypermetropia in only one eye. Each eye condition should be coded accurately based on its specific diagnosis.
- Confusion with Other Refractive Errors: Avoid using H52.03 for other types of refractive errors such as myopia or astigmatism, as they require their respective ICD-10 codes.
- Application to Temporary Vision Issues: Do not use H52.03 for temporary vision issues that mimic hypermetropia. The diagnosis should be based on a thorough eye examination.
