Degenerative myopia with choroidal neovascularization, unsp

This code signifies a severe form of nearsightedness (myopia) that progressively worsens and is complicated by the growth of abnormal blood vessels under the retina (choroidal neovascularization). This neovascularization can lead to bleeding, fluid leakage, and significant vision loss. The "unspecified eye" indicates that the medical record does not specify whether the condition affects the right or left eye, or if it is bilateral.

Use this code when documentation confirms degenerative myopia with choroidal neovascularization, but the specific eye affected is not recorded. This is appropriate for initial encounters or when the laterality is unknown or not yet determined. Supporting documentation would include ophthalmological exam findings detailing both the degenerative myopic changes and the presence of choroidal neovascularization.

• Avoid using this code if the medical record specifies the affected eye (e.g., right, left, or bilateral); instead, use the more specific laterality codes.
• Always query the provider for laterality if not documented to ensure the most specific code is assigned.
• This code represents a chronic and progressive condition; ensure documentation supports ongoing management and monitoring.