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Cataract Coding

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A cataract is a clouding that develops in the crystalline lens of the eye that obstructs the passage of light.  There are various types of cataracts: nuclear, cortical, mature, and hypermature. Cataracts can be a secondary effect of disease such as DM, HTN, or advanced age. Cataracts can cause blindness if left untreated.

Cataracts are classified in Category 366 by their type:

366.0x Infantile, juvenile, and presenile cataracts

366.1x Senile cataracts (most common type of cataract in diabetics, but NOT considered a diabetic cataract)

366.2x Traumatic cataracts

366.3x Cataract secondary to ocular disorders

366.4x Cataract associated with other diseases

366.5x After-cataract

366.8 Other cataract

366.9 Unspecified cataract

*Remember, when coding a cataract that is documented as a diabetic manifestation, use a diabetic ophthalmic manifestation code 250.5x/249.5x followed by 366.41 diabetic cataract. 

Diabetic Cataracts are common in Type 1 diabetics and rarely seen in Type 2 patients.



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