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Crosswalk for Common Routine Vision Codes ICD-9 to ICD-10 ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 367.0 Hypermetropia H52.00 Hypermetropia, unspecified eye H52.01 Hypermetropia, right eye H52.02 Hypermetropia, left eye H52.03 Hypermetropia, bilateral 367.1 Myopia H52.10 Myopia, unspecified eye H52.11 Myopia, right eye H52.12 Myopia, left eye H52.13 Myopia, bilateral 367.20 Astigmatism, unspecified H52.201 Unspecified Astigmatism, right eye H52.202 Unspecified Astigmatism, left eye H52.203 Unspecified Astigmatism, bilateral H52.209 Unspecified Astigmatism, unspecified eye 367.21 Regular Astigmatism H52.221 Regular Astigmatism, right eye H52.222 Regular Astigmatism, left eye H52.223 Regular Astigmatism, bilateral H52.229 Regular Astigmatism, unspecified eye 367.22 Irregular Astigmatism H52.211 Irregular Astigmatism, right eye H52.212 Irregular Astigmatism, left eye H52.213 Irregular Astigmatism, bilateral H52.219 Irregular Astigmatism, unspecified eye 367.31 Anisometropia H52.31 Anisometropia 367.32 Aniseikonia H52.32 Aniseikonia 367.4 Presbyopia H52.4 Presbyopia 367.53 Spasm of accomodation H52.531 Spasm of accomodation, right eye H52.532 Spasm of accomodation, left eye H52.533 Spasm of accomodation, bilateral H52.539 Spasm of accomodation, unspecified eye 367.81 Transient Refractive Change H52.6 Other disorders of refraction 367.89 Other disorders of refraction and accommodation H52.6 Other disorders of refraction 367.9 Unspecified disorder of refraction and accommodation H52.7 Unspecified disorder of refraction 368.13 Visual discomfort H53.141 Visual discomfort, right eye H53.142 Visual discomfort, left eye H53.143 Visual discomfort, bilateral H53.149 Visual discomfort, unspecified eye 368.9 Unspecified visual disturbance H53.9 Unspecified visual disturbance V53.1 Spectacles and contact lenses Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses V72.0 Examinations of eyes and vision Z01.00 Encounter for examination of eyes and vision without abnormal findings (Encounter for examination of eyes and vision NOS) Z01.01 Encounter for examination of eyes and vision with abnormal findings (Use additional code to identify abnormal findings) Note: This document is subject to change and does not reflect state-specific information. For a complete list of the ICD codes that Envolve Vision will accept, please refer to the applicable ICD codes form referenced in the Plan Specifics. EVB. ICD.CW.9.16

ICD-9 to ICD-10 ICD-9 Code ICD-9 Description ICD-10 Code ... for... · Crosswalk for Common Routine Vision Codes ICD-9 to ICD-10 ICD-9 Code

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Page 1: ICD-9 to ICD-10 ICD-9 Code ICD-9 Description ICD-10 Code ... for... · Crosswalk for Common Routine Vision Codes ICD-9 to ICD-10 ICD-9 Code

Crosswalk for Common Routine Vision Codes

ICD-9 to ICD-10

ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description

367.0 Hypermetropia H52.00 Hypermetropia, unspecified eye

H52.01 Hypermetropia, right eye

H52.02 Hypermetropia, left eye

H52.03 Hypermetropia, bilateral

367.1 Myopia H52.10 Myopia, unspecified eye

H52.11 Myopia, right eye

H52.12 Myopia, left eye

H52.13 Myopia, bilateral

367.20 Astigmatism, unspecified H52.201 Unspecified Astigmatism, right eye

H52.202 Unspecified Astigmatism, left eye

H52.203 Unspecified Astigmatism, bilateral

H52.209 Unspecified Astigmatism, unspecified eye

367.21 Regular Astigmatism H52.221 Regular Astigmatism, right eye

H52.222 Regular Astigmatism, left eye

H52.223 Regular Astigmatism, bilateral

H52.229 Regular Astigmatism, unspecified eye

367.22 Irregular Astigmatism H52.211 Irregular Astigmatism, right eye

H52.212 Irregular Astigmatism, left eye

H52.213 Irregular Astigmatism, bilateral

H52.219 Irregular Astigmatism, unspecified eye

367.31 Anisometropia H52.31 Anisometropia

367.32 Aniseikonia H52.32 Aniseikonia

367.4 Presbyopia H52.4 Presbyopia

367.53 Spasm of accomodation H52.531 Spasm of accomodation, right eye

H52.532 Spasm of accomodation, left eye

H52.533 Spasm of accomodation, bilateral

H52.539 Spasm of accomodation, unspecified eye

367.81 Transient Refractive Change H52.6 Other disorders of refraction

367.89 Other disorders of refraction and

accommodation

H52.6 Other disorders of refraction

367.9 Unspecified disorder of refraction

and accommodation

H52.7 Unspecified disorder of refraction

368.13 Visual discomfort H53.141 Visual discomfort, right eye

H53.142 Visual discomfort, left eye

H53.143 Visual discomfort, bilateral

H53.149 Visual discomfort, unspecified eye

368.9 Unspecified visual disturbance H53.9 Unspecified visual disturbance

V53.1 Spectacles and contact lenses Z46.0 Encounter for fitting and adjustment of spectacles and

contact lenses

V72.0 Examinations of eyes and vision Z01.00 Encounter for examination of eyes and vision without

abnormal findings (Encounter for examination of eyes

and vision NOS)Z01.01 Encounter for examination of eyes and vision with

abnormal findings (Use additional code to identify

abnormal findings)

Note: This document is subject to change and does not reflect state-specific information. For a complete list of the ICD codes that Envolve Vision will accept, please refer to the

applicable ICD codes form referenced in the Plan Specifics. EVB. ICD.CW.9.16

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