Degenerative myopia with macular hole, left eye

This code signifies a diagnosis of degenerative myopia, a severe form of nearsightedness characterized by progressive elongation of the eyeball, specifically affecting the left eye. The condition is further complicated by the presence of a macular hole, a small break in the macula (the central part of the retina responsible for sharp, detailed vision). This combination can lead to significant and irreversible vision impairment.

Apply this code when documentation clearly indicates a patient has degenerative myopia in their left eye, and a macular hole has been identified in the same eye. This diagnosis is typically made by an ophthalmologist following a comprehensive eye examination, including optical coherence tomography (OCT) to visualize the macular hole.

• Ensure laterality is accurately documented and coded; this code specifies the left eye.
• Distinguish from non-degenerative myopia or macular holes not associated with degenerative myopia.
• Look for documentation of progressive myopic changes and specific mention of a macular hole.