Capslr glaucoma w/pseudxf lens, right eye, moderate stage

This code signifies a type of secondary open-angle glaucoma affecting the right eye, specifically caused by pseudoexfoliation syndrome (PXF). PXF involves the deposition of abnormal fibrillar material on the lens capsule and other ocular structures, leading to impaired aqueous humor outflow and elevated intraocular pressure. The "moderate stage" indicates a specific level of disease progression, typically characterized by optic nerve damage and visual field loss beyond early stages but not yet severe.

Use this code when documentation clearly indicates a diagnosis of capsular glaucoma due to pseudoexfoliation in the right eye, and the physician specifies the disease as being in a moderate stage. Supporting documentation should include findings of pseudoexfoliative material, elevated intraocular pressure, characteristic optic nerve head changes, and visual field defects consistent with moderate glaucoma. This code is appropriate for initial and subsequent encounters where this specific diagnosis and stage are confirmed.

• Ensure documentation explicitly states "pseudoexfoliation" as the cause of the capsular glaucoma, not just "capsular glaucoma."
• Verify the affected eye (right) and the stage of glaucoma (moderate) are clearly documented to support the specificity of this code.
• Do not confuse with primary open-angle glaucoma or other secondary glaucomas; the pseudoexfoliation component is crucial for this code.