Accommodative component in esotropia

This code identifies a type of convergent strabismus (esotropia) where an overactive or excessive accommodative reflex contributes to the inward turning of one or both eyes. The accommodative component means that the eye deviation is significantly influenced by the effort to focus on near objects.

Apply this code when documentation specifies esotropia with a clear accommodative element, often identified by a significant reduction or correction of the deviation with cycloplegic refraction or bifocal/plus lens correction. This is typically diagnosed by an ophthalmologist or optometrist during an eye examination.

• Ensure documentation explicitly states an "accommodative component" or similar phrasing, such as "partially accommodative esotropia."
• Do not confuse with other forms of esotropia (e.g., congenital, acquired non-accommodative) if the accommodative element is not clearly present.
• Consider sequencing with codes for underlying refractive errors (e.g., hyperopia) if documented as contributing factors.