Degenerative myopia with macular hole, right eye

This code signifies a specific type of high myopia where the eyeball elongates, leading to degenerative changes in the retina, specifically the development of a macular hole in the right eye. A macular hole is a small break in the macula, the central part of the retina responsible for sharp, detailed vision. This condition can severely impair central vision.

Use this code when documentation clearly indicates a diagnosis of degenerative (pathologic) myopia with an associated macular hole affecting the right eye. Supporting documentation should include ophthalmological examination findings, such as optical coherence tomography (OCT) scans confirming the macular hole and evidence of myopic degeneration.

• Ensure laterality is accurately documented and coded; this code is specific to the right eye.
• Distinguish from non-degenerative myopia with macular hole, which would use a different code.
• Look for documentation of "pathologic myopia" or "degenerative myopia" to support the "degenerative" component of the diagnosis.