Open angle with borderline findings, high risk, right eye

This code signifies a diagnosis of open-angle glaucoma suspect in the right eye, characterized by optic nerve or retinal nerve fiber layer findings that are suspicious for glaucoma, but not yet definitive. It indicates a patient at elevated risk for developing open-angle glaucoma, requiring close monitoring.

Use this code when documentation specifies "open angle with borderline findings" or "high risk" for glaucoma in the right eye, often based on suspicious optic disc cupping, asymmetry, or nerve fiber layer defects without confirmed glaucomatous visual field loss. This code is appropriate for patients undergoing diagnostic workup or surveillance for glaucoma.

• Ensure documentation clearly specifies "right eye" and "borderline findings" or "high risk" to differentiate from confirmed glaucoma or other eye.
• Do not use this code if definitive glaucomatous damage (e.g., visual field loss) is present; instead, code to the appropriate stage of glaucoma.
• Consider sequencing this code with codes for associated risk factors, such as ocular hypertension (H40.0x) if present.