Hemophthalmos, bilateral

This code signifies the presence of blood within the vitreous humor of both eyes. This condition can lead to significant vision impairment due to the obstruction of light reaching the retina. It is often a symptom of an underlying ocular or systemic disorder.

Apply this code when documentation explicitly states hemophthalmos affecting both eyes. This typically occurs in cases of trauma, diabetic retinopathy, retinal detachment, or other vascular abnormalities impacting the posterior segment of the eye. Physician notes should clearly indicate bilateral involvement.

• Ensure documentation specifies bilateral involvement; otherwise, use a unilateral code or an unspecified code if laterality is not documented.
• Always code the underlying cause of the hemophthalmos first, if known and documented, as this condition is often a manifestation of another disease.
• Distinguish from other forms of intraocular hemorrhage, such as hyphema (blood in the anterior chamber), which has different codes.