Primary open-angle glaucoma, unsp, indeterminate stage

This code signifies a diagnosis of primary open-angle glaucoma where the specific eye affected (left or right) is not documented, and the severity or stage of the disease is also not determined. It indicates a chronic, progressive optic neuropathy characterized by characteristic optic nerve damage and visual field loss.

This code is appropriate when the medical record confirms a diagnosis of primary open-angle glaucoma, but the physician's documentation does not specify which eye is affected or the stage of the disease. It should be used when there is insufficient information to assign a more specific laterality or stage code.

• Avoid using this code if the medical record clearly indicates the affected eye (right, left, or bilateral) or the stage of glaucoma (mild, moderate, severe, or unspecified stage with laterality).
• Always query the provider for clarification on laterality and stage if not documented to allow for more specific coding.
• This code represents a less specific diagnosis; strive for greater specificity whenever possible through thorough documentation review and provider queries.