Not Valid for Submission
H40.11 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of primary open-angle glaucoma. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Primary open-angle glaucoma
Header codes like H40.11 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for primary open-angle glaucoma:
- H40.111 - ... right eye
- H40.1110 - ... right eye, stage unspecified
- H40.1111 - ... right eye, mild stage
- H40.1112 - ... right eye, moderate stage
- H40.1113 - ... right eye, severe stage
- H40.1114 - ... right eye, indeterminate stage
- H40.112 - ... left eye
- H40.1120 - ... left eye, stage unspecified
- H40.1121 - ... left eye, mild stage
- H40.1122 - ... left eye, moderate stage
- H40.1123 - ... left eye, severe stage
- H40.1124 - ... left eye, indeterminate stage
- H40.113 - ... bilateral
- H40.1130 - ... bilateral, stage unspecified
- H40.1131 - ... bilateral, mild stage
- H40.1132 - ... bilateral, moderate stage
- H40.1133 - ... bilateral, severe stage
- H40.1134 - ... bilateral, indeterminate stage
- H40.119 - ... unspecified eye
- H40.1190 - ... unspecified eye, stage unspecified
- H40.1191 - ... unspecified eye, mild stage
- H40.1192 - ... unspecified eye, moderate stage
- H40.1193 - ... unspecified eye, severe stage
- H40.1194 - ... unspecified eye, indeterminate stage
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H40.11:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Chronic simple glaucoma
7th Character Note7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- One of the following 7th characters is to be assigned to each code in subcategory H40.11 to designate the stage of glaucoma
7th Character7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- 0 - stage unspecified
- 1 - mild stage
- 2 - moderate stage
- 3 - severe stage
- 4 - indeterminate stage
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H40.11 are found in the index:
- GLAUCOMA OPEN ANGLE-. glaucoma in which the angle of the anterior chamber is open and the trabecular meshwork does not encroach on the base of the iris.
Information for Patients
Glaucoma is a group of diseases that can damage the eye's optic nerve. It is a leading cause of blindness in the United States. It usually happens when the fluid pressure inside the eyes slowly rises, damaging the optic nerve. Often there are no symptoms at first. Without treatment, people with glaucoma will slowly lose their peripheral, or side vision. They seem to be looking through a tunnel. Over time, straight-ahead vision may decrease until no vision remains.
A comprehensive eye exam can tell if you have glaucoma. People at risk should get eye exams at least every two years. They include
- African Americans over age 40
- People over age 60, especially Mexican Americans
- People with a family history of glaucoma
There is no cure, but glaucoma can usually be controlled. Early treatment can help protect your eyes against vision loss. Treatments usually include prescription eyedrops and/or surgery.
NIH: National Eye Institute
- Glaucoma (Medical Encyclopedia)
- Ophthalmoscopy (Medical Encyclopedia)
- Standard ophthalmic exam (Medical Encyclopedia)
- Tonometry (Medical Encyclopedia)