Glaucoma secondary to eye trauma, bi, indeterminate stage

This code signifies glaucoma affecting both eyes that has developed as a direct consequence of a previous eye injury. The specific stage of glaucoma progression (e.g., mild, moderate, severe) cannot be determined from the available clinical documentation.

Apply this code when documentation clearly links bilateral glaucoma to a history of ocular trauma, and the ophthalmologist has not specified the stage of the disease. This is appropriate for patients presenting with elevated intraocular pressure and optic nerve damage in both eyes following an injury, where further staging is pending or not yet possible.

• Ensure documentation explicitly states "bilateral" and "secondary to trauma."
• Do not use if a specific stage of glaucoma (e.g., mild, moderate, severe) is documented; instead, choose a more specific H40.3x code.
• Always sequence the underlying eye trauma code (e.g., S05.xx) before this code, if the trauma is still being treated or is relevant to the current encounter.