H40.013 Open angle with borderline findings, low risk, bilateral

ICD10CM code

#### Name of the Condition
- Open Angle Glaucoma with Borderline Findings, Low Risk, Bilateral (ICD-10: H40.013)

#### Summary
- Open-angle glaucoma with borderline findings and low risk is an eye condition where the drainage angle formed by the cornea and iris remains open, but there is still a risk of optic nerve damage due to borderline intraocular pressure. This condition is present in both eyes and considered low risk.

#### Causes
- The exact cause is often multifactorial, involving genetic predisposition, age-related changes, and sometimes elevated eye pressure.

#### Risk Factors
- Increasing age, family history of glaucoma, African or Hispanic descent, existing medical conditions like diabetes or hypertension, and previous eye injuries.

#### Symptoms
- This condition may not present clear symptoms early on but can lead to gradual loss of peripheral vision or tunnel vision if left undiagnosed.

#### Diagnosis
- Comprehensive eye exams, intraocular pressure measurement, optic nerve imaging, and visual field tests are used to diagnose this condition and assess the risk level.

#### Treatment Options
- Regular monitoring and observation are key for low-risk cases. Treatment may include medications such as eye drops to reduce eye pressure and, in rare cases, laser therapy or surgery might be considered.

#### Prognosis and Follow-Up
- With regular monitoring, the progression to more severe glaucoma can often be prevented. Regular eye check-ups are crucial to adjust any treatment plans and ensure eye health.

#### Complications
- If left untreated, there is a risk of irreversible vision loss due to optic nerve damage.

#### Lifestyle & Prevention
- Maintaining a healthy lifestyle with regular exercise, a balanced diet, avoiding smoking, and protecting eyes from UV rays can help manage the condition. Regular eye examinations are essential, especially for those at higher risk.

#### When to Seek Professional Help
- Seek prompt medical attention if you experience noticeable changes in vision, such as blurriness, halos around lights, or loss of peripheral vision.

#### Additional Resources
- [American Academy of Ophthalmology](https://www.aao.org/)
- [Glaucoma Research Foundation](https://www.glaucoma.org/)

#### Tips for Medical Coders
- Ensure bilateral involvement is documented as H40.013 represents both eyes. Avoid confusing it with other glaucoma codes, which may specify unilateral conditions or higher risk categories.

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