H35.3213 Exudative age-related macular degeneration, right eye, with inactive scar

ICD10CM code

#### Name of the Condition
- Exudative Age-related Macular Degeneration, Right Eye, with Inactive Scar (H35.3213)
- Also known as “wet” AMD, involving scarring in the macula of the right eye.

#### Summary
Exudative age-related macular degeneration (AMD) is a progressive eye condition that affects the central portion of the retina known as the macula, leading to vision loss. In this case, the condition involves the right eye and has resulted in an inactive scar, suggesting previous damage from abnormal blood vessel growth.

#### Causes
The exact cause of exudative AMD is unknown, but it involves the growth of abnormal blood vessels beneath the macula. These vessels are prone to leakage, causing scarring and damage to the retina. Age and genetic factors are significant contributors.

#### Risk Factors
- Age: More common in individuals over 50.
- Family history of AMD.
- Smoking.
- Obesity.
- High blood pressure.
- Prolonged sun exposure without protection.

#### Symptoms
- Blurred or distorted vision.
- A central dark or blind spot in the vision.
- Decreased color perception.
- Difficulty recognizing faces.

#### Diagnosis
- A comprehensive eye examination.
- Optical coherence tomography (OCT) to view the retina layers.
- Fluorescein angiography to detect blood vessel leakage.
- Visual acuity tests.

#### Treatment Options
- **Anti-VEGF injections:** Help stop the growth of new blood vessels.
- **Laser therapy:** Used in some cases to seal leaking vessels.
- **Photodynamic therapy:** A light-activated drug to destroy abnormal vessels.
- Regular monitoring with an ophthalmologist is necessary to track changes.

#### Prognosis and Follow-Up
While exudative AMD can lead to significant vision impairment if untreated, timely intervention can stabilize vision in many cases. Follow-up includes regular eye exams to monitor for changes or complications.

#### Complications
- Permanent central vision loss.
- Enlarged blind spots in vision.
- Potential for eventual loss of the ability to perform daily activities.

#### Lifestyle & Prevention
- Diet rich in leafy greens and fish.
- Protective eyewear against UV exposure.
- Smoking cessation.
- Regular exercise and maintaining a healthy weight.

#### When to Seek Professional Help
Seek immediate attention if you notice sudden vision changes, dark or blind spots, or distorted vision. Early detection is crucial for management.

#### Additional Resources
- [The American Academy of Ophthalmology](https://www.aao.org/)
- [The Macular Degeneration Partnership](https://macularhope.org/)
- [National Eye Institute](https://www.nei.nih.gov/)

#### Tips for Medical Coders
- Ensure the ICD code matches the specific condition type (exudative, right eye, inactive scar).
- Verify the correct laterality (right eye) and status (inactive scar) to avoid coding errors.
- Document the condition's chronic nature and any related treatments or interventions in the patient's medical record.

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