Capslr glaucoma w/pseudxf lens, bilateral, moderate stage

This code signifies a specific type of secondary open-angle glaucoma characterized by the presence of pseudoexfoliation material on the lens, affecting both eyes. This condition leads to increased intraocular pressure due to the obstruction of the aqueous humor outflow pathways, and in this instance, has progressed to a moderate stage of severity.

Use this code when documentation clearly indicates bilateral capsular glaucoma with pseudoexfoliation syndrome. The medical record must specify that the disease has reached a moderate stage, typically based on visual field defects and optic nerve damage. This diagnosis is often made following a comprehensive ophthalmological examination, including slit-lamp biomicroscopy and gonioscopy.

• Ensure documentation explicitly states "bilateral" and "moderate stage" for accurate coding.
• Differentiate from primary open-angle glaucoma (H40.11-) and other secondary glaucomas.
• Always review the ophthalmologist's notes for the specific stage of glaucoma (mild, moderate, severe, indeterminate).