Monocular exotropia with V pattern, right eye

This code signifies a form of strabismus where the right eye deviates outward (exotropia) and the deviation is greater in upward gaze and/or downward gaze, creating a "V" shape when comparing the deviation in different vertical positions. This specific pattern indicates a vertical component to the horizontal misalignment.

Use this code when documentation clearly specifies exotropia affecting only the right eye, accompanied by a V pattern. This diagnosis is typically made during an ophthalmological examination, often involving prism cover testing in various gaze positions. Documentation should explicitly state "monocular exotropia, right eye, with V pattern."

• Differentiate from intermittent or constant exotropia without a specified pattern; those have different codes.
• Ensure the documentation specifies "right eye" and "V pattern" to support this precise code.
• Do not confuse with A pattern exotropia (H50.132) or other types of strabismus.