Retained (old) foreign body in vitreous body, left eye

This code signifies the presence of a non-magnetic foreign object, which has been in the vitreous humor of the left eye for an extended period. This condition can lead to inflammation, retinal detachment, or vision loss if not addressed.

Use this code when documentation clearly indicates a foreign body in the vitreous of the left eye that is not magnetic and is considered "old" or "retained." This typically applies to cases where the foreign body has been present for some time, rather than a recent acute injury. Supporting documentation would include ophthalmological examination findings, imaging reports (e.g., ultrasound, CT), and patient history detailing the foreign body's presence.

• Ensure the documentation specifies "left eye" and clarifies the foreign body is "nonmagnetic" and "retained" or "old."
• Do not use this code for acute foreign bodies; refer to codes for initial encounters of foreign body in the vitreous.
• Consider sequencing this code with codes for any associated complications, such as vitreous hemorrhage or retinal detachment.