This continuing medical education activity is jointly provided byQuantile-quantile (Q-Q) plot of observed (y-axis) vs. Main Outcome Measures: The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. cortical spoking from cataract. Add to My Bookmarks. 71%, while for a three-class classification, 83. The phakic IOL is well positioned but may exhibit slight temporal displacement. Cortical spoking Clinically significant diabetic macular edema Central serous (chorio) retinopathy: DCR DES DME DR DSAEK: Dacryocystorhinostomy Dry eye syndrome Diabetic macular edema Diabetic retinopathy Descemet stripping automated endothelial keratoplasty: E ECCE EKC EL ELP ERM ET E(T) EsophoriaExcellent cortical cleaving hydrodissection as described by Howard Fine in 1992 is a key step in mobilizing the lens within the capsular bag so as to minimize stress on the intact zonular fibers during lens rotation and nuclear disassembly. Ctr. Which of the following is not handy when diagnosing RP? A. Cortical senile cataract. Exam 3 Learn with flashcards, games, and more — for free. expected (x-axis) P-values from genome-wide association tests for the bivariate outcome of cortical cataract and temporal horn volume. On dilated exam, note the bowing. grade ONLY THE NUCLEUS!-Optical Separation - dark line showing border between nucleus and cortex (not grade 1 until this is seen)-Brunescence - brown/orange nucleus; reserved for. Request a Demo 14 Day Free Trial Buy Now. Rostov posed two questions to her fellow contributors:Main Outcome Measures The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last. The optic nerves were 0. The spoke-like streaks will steadily grow toward the center of the lens until they interfere with light passing onto the retina. The three main types are: Posterior subcapsular. It may eventually lead to a cortical cataractvisible changes; Stage 1, cortical spoking appears; Stage 2, water vacuoles appear; Stage 3, cataract ring; Stage 4, frank cataract. There was no evidence of pseudoexfoliation. 51 ). 041--Posterior subcapsular polar senile cataract, right eye H25. ICD-10 Diagnosis Codes: H25. Note the yellowing of the nucleus (nuclear sclerosis) and cortical spoking (cortical cataract) in this combined cataract. white and quiet. Study with Quizlet and memorize flashcards containing terms like Types of cataracts, nuclear cataract, cortical cataract and more. CI. The most common dx our doctor dictates is nuclear sclerosis cataract and senile cortical cataract. n. Nuclear sclerotic, cortical (‘spoking’), and subcapsular cataracts will comprise the vast majority of those seen in clinic. SD: Standard deviation, NS: Nuclear sclerotic, CS: Cortical spoking, PSC: Posterior subcapsular cataract Figure 1: Scatter plot of multiple regression analysis of surgical time during theThrough dilated pupils his crystalline lenses were characterized by early nuclear sclerosis bilaterally, as well as cortical spoking off the visual axis. As they progress, these streaks gradually move toward the center, taking on an appearance similar to spokes in a bicycle wheel. decrease vitamin c absorption d. Figure 1. She was also found to have anterior and posterior cortical spoking of the crystalline lenses, off the visual axis. 1 (Cary, North Carolina, USA) was used for all statistical analyses. Where the ICR/f rat has proved to be very useful is in imaging mass spectrometry of the lens proteins during aging [7], a study funded by NEI R21 EY020963. 4: Posterior subcapsular cataracts Sign in. Eye problems, such as previous eye injuries and inflammation, may cause cortical cataracts. 3: Cortical Spoking Cataracts. Read More. Produced by: Brandon Pham. 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc; 963 Other multiple significant trauma with mcc; 964 Other multiple significant trauma with cc;. Main Outcome Measures The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last. The following code (s) above H47. The revised LCD and related billing and coding article provide coverage for cataract surgery, including complex surgery. 019 ICD-10 code H25. Open source ophthalmology education for students, residents, fellows, healthcare workers, and clinicians. This study explores stroke risk factors and clinical variables that may assist in this differentiation. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from. Known as ‘cortical spoking’ cataracts, these opacities vary greatly from nuclear cataracts for their appearance of a bicycle wheel. A patient with both OSD and cataracts begs the age-old visual impact question, which came first? Regardless of the answer, the first step is aggressively treating the OSD prior to a cataract consultation. Previous eye surgery. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. 1. Clinically significant diabetic macular edema. 3 OS Periphery: OD: lattice, pigmented sup. 1. There is no phacodonesis evident. 0. Common symptoms after cataract surgery. A “Morgagnian“ cataract, is an extremely difficult case because the center is liquefied, increasing risk of dropping the nucleus into the vitreous during surgery. and a mixed cataract with 3+ nuclear sclerosis, cortical spoking, and posterior subcapsular opacities in each eye • Tear break-up time was 5 seconds OU • Tear osmolarity was modestly elevated and asymmetric at 302 mOsm/L OD and 313 mOsm/L OS The Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire (availablecongenital or early in life usually don't interfere with vision Congenital nuclear, Anterior polar (pyramidal), Ubilicated, Axial fusiform, Sutural opacities, Coralliform, Persistent hyperplastic primary vitreous, Luxated lens, Zonular/lamellar, Galactosemia, Spherophakia, LenticonusFigure S4: Quantile-quantile (Q-Q) plot of observed (y-axis) vs. protein aggregation b. Selfsealing 4. The images undergo various image processing techniques to detect the presence of cataracts. grade by quadrants-. Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. XT. Cigarette smoking. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). This article contains coding and other guidelines that complement the local coverage determination (LCD) for Cataract Extraction. [ 1] Although it mainly occurs in adults, children can be affected too. H25. H25. 35 OD 0. Symptoms of cortical. Posterior Subcapsular: The area at the back of the lens develops cloudiness. 35K subscribers in the optometry community. Changes in the water content of the lens fibers create clefts, or fissures, that look like the spokes of a. It means "not coded here". How is cortical spoking cataract treated? Learn the truth about cataracts, how to catch them early, and how to protect your eyes and vision at any age. Then we present the data regarding the risk of each type of radiation effect to the fluoroscopy. Discuss techniques to evaluate cataracts and effects on vision. Please. Pbm in brain not eye: The term cortical vision impairment implys that there is a problem with the brain cortex (outer cell layer) that interprets the imput of. S. Completely opacified cortex causing the lens to appear white; no red reflex visible from fundus. Cortical Spoking: Posterior Subcapsular: NS tr or 1+: Nucleus clearer than anterior / posterior sections NS 2+: Nucleus equal to the anterior posterior sections (same opacity level throughout) NS 3+/4+: Nucleus denser than anterior / posterior sections Dense white/brunescent: Cataract completely opaque / brown: CS 1+: ⅛ to ¼ of total CS 2. The remainder of the examination is normal. This guide from. Because ofthe patient's cataract-related complaints, phacoemulsification was performed first on the left eye and then on the right. At that time she was also noted to have generalized ocular surface disease (OSD) with superficial punctate keratitis (SPK), a decreased tear break-up time, a scant tear prism and worsening comfort as the day progressed. 1. The 2024 edition of ICD-10-CM H25. ” The clinician did not feel her visual complaints were related to the corneal findings revealed on exam. What is a nuclear sclerotic cataract? How will it present?. Richard Hector answered. H25. 041--Posterior subcapsular polar senile cataract, right eye H25. The left eye shows 2+ nuclear sclerosis with 2+ cortical spoking. Moran CORE. XT. It can be highly difficult to view the red reflex in patients with small pupils, darkly pigmented eyes, dense anterior cortical spoking, and brunescent cataracts. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. 269 may differ. Created for people with ongoing healthcare needs. The typical symptoms that come with cortical cataracts include: Increased difficulty driving at night. Diagnosis 2: Nuclear Cataracts. The opalescent or milky white appearance of the nucleus with no surrounding brunescence or cortical spoking is pathognomonic. You may become a victim of cortical cataracts, even if you are young or middle-aged. Edema. When considering the grade of lens opacification including severity of nuclear sclerosis, cortical spoking, and posterior subcapsular, as well as the severity of posterior capsule opacification, no significant differences between grades were identified in the variability between Snellen and ETDRS measurements. 85mm OS: 32. CIII opacification that obscures about 50% of the intrapupillary zone. Bressler, MD, James Heyward, BA, Ava K. Collection of post-dilated fundus examination information included diabetic retinopathy (DR) severity level and primary cause of visual loss. 35 - other international versions of ICD-10 Z68. Upon evaluation of the lenses, the patient had grade two nuclear sclerosis in both eyes, along with cortical spoking greater in the right eye than in the left. Or, simply reference the most commonly used abbreviations the old fashioned way. Dilated fundus examination revealed 1+ nuclear sclerosis, 1+ anterior cortical spoking, and 2+ posterior capsular cataracts OU. People with nuclear sclerosis often describe having a "filmy" sensation in their vision as if looking through a dirty window. 50 & 4. View Full Image. I measured contrast sensitivity and glare in 51 cataract patients who had Snellen visual acuities of 20/60 or better. Read More. Advancing age. ANA is neg. Download scientific diagram | Change of nuclear sclerosis (Ns) in a typical case of the diabetic retinopathy group. The anterior vitreous of the right eye showed densely packed asteroid hyalosis (Fig. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The lack of monocular or homonymous visual field defect makes. you can tell it's an anterior cortical cataract because the iris is still pretty clear and in focus. Answered Jan 25, 2023. 5: Posterior capsular opacifications Sign in. It can cause blurry vision, double vision, glare, and color distortion. Retrospective cohort study. Study with Quizlet and memorize flashcards containing terms like old ppl do they gave relatively good or bad high contrast VA vs low contrast VA, when u hit 40 do u need an add?, how do peoples hyperopia change with age and more. a cortical spoking cataract is often first seen where due to sun exposure? inferonasal. Study ocular lens flashcards from Tiff Moon's class online, or in Brainscape's iPhone or Android app. cortical: [adjective] of, relating to, or consisting of cortex. This was the slit lamp appearance of the right eye: The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. H05. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. nuclear cataract is cloudiness in the "core" of your lens. Fifteen months after the addition of quetiapine, an optometry examination revealed lenticular changes in the left eye and grade I cortical spoking in the interior aspect of the lens . Cataract: The peripheral part of your lens has some opacity in it. According to the WHO, there are three main types of cataracts: 1) nuclear sclerotic cataract (NS), 2) cortical spoking cataract (CS), and 3) posterior subcapsular cataract (PSC) which are shown in. refract to best ability. The proposed method was successful in accurately classifying the two classes. H25. Subscribe to Codify by AAPC and get the code details in a flash. Cigarette smoking. 04 : H00-H59. A corresponding procedure code must accompany a Z. What is a cortical spoking cataract? Moderate cortical changes. Methods : Clinical records of 27 eyes of 27 patients that had undergone a pars plana vitrectomy younger. The 2024 edition of ICD-10-CM H25. Views 491. depends on visual acuity-Remember. 1. 01. Figure 8-13 Mature cataract with white, liquefied cortex. If the beam is lower or higher than the eye, rotate the joystick (or the joystick ring) to make the beam level with the eye. Ophthalmology 11 years experience. peripheral cloudiness, it is known as a cortical spoking cataract (CS). The arrowheads demonstrate regions of cortical spoking. Figure 8-12 Cortical cataract demonstrating white cortical spoking. Mature cataract with white, liquefied cortex. The white lines in B represent a transparent region that is superficial to the opaque region. Both cause decreased vision over time. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. The optometrist diagnoses the. 019 for Cortical age-related cataract, unspecified eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Posterior segment findings revealed mild attenuation of vessels secondary to hypertension. yttrium-aluminum-garnet laser. Cortical opacities were twice as prevalent as Achilles tendon thickening (16. 8 in both eyes, and ancillary testing revealed significant retinal nerve fiber layer (RNFL) deficits on optical coherence tomography (OCT) of both eyes. Phacodonesis. H25. The 2024 edition of ICD-10-CM H47. 011 became effective on October 1, 2023. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . Cortical Spoking Explanation: - PSC is more of a concern. Nuclear sclerosis is a normal aging feature due to the compaction of the nuclear region of the lens. Anterior segment exam revealed a moderate nuclear sclerotic and cortical spoking cataract OD and an early nuclear sclerotic cataract OS. Corneal topography or tomography. All of the above are likely to be found F. 0 using the lens opacities classification system LOCS II before andStudy Spring 2012 Dis Exam 5 (Last Material for final) flashcards. U. cortical spoking that obscures more than 2 full quadrants. 2. 1). These begin with the formation of small vacuoles and clefts. Our ASC does a lot of cataract surgeries. Cortical cataracts may progress quickly or remain unchanged for extended periods. cortical cataract. This is the American ICD-10-CM version of H26 - other international versions of ICD-10 H26 may differ. Senile cataracts are classified into three main types: nuclear cataract, cortical cataract, and posterior subcapsular cataract. 피질 스포킹 백내장(Cortical spoking cataract, CS) – 스포크/쐐기형 주변 흐림을 유발하는 피질의 부종. . Study Ocular Disease Midterm flashcards. cortical spoking. 6: Artificial lenses Sign in. An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. Change in the glasses prescription of the eye. BILLABLE Adult Only | ICD-10 from 2011 - 2016. 5A. Learn faster with spaced repetition. ICD-10-CM S43. Figure 8-13 . Cycloplegic refraction. Dr. The white lines in B represent a transparent region that is superficial to the opaque region. Closer inspection of the corneas revealed a posterior stromal haze and dense, dot-like irregularities at the level of the endothelium. Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience. Nuclear cataracts are graded according to their color and opacification using slit lamp examination. Created for people with ongoing healthcare needs but benefits everyone. B, Typical cortical spokes. Cataracts that start growing at the outer edge of the lens are called cortical cataracts. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. 1. YAG. It's one of the most common types of cataracts. show more content…Study with Quizlet and memorize flashcards containing terms like BLP, BRAO, ARMD and more. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38926, Cataract Extraction (including Complex Cataract Surgery). 1: Anatomy of the lens. 2. 01/01/2021. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). While the majority of cataracts in the population are age-related, or senile, cataracts, there are many types and causes of cataract. Prior inflammation/injury of the eyes. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. John Berryman answered. 5: Posterior capsular opacifications Sign in. The 2024 edition of ICD-10-CM H25. Learn about the causes, symptoms, progression, and complications of cortical cataracts. Slit-lamp examination demonstrated bilateral combined cataracts of 3+ nuclear sclerosis, 1+ cortical spoking, and 1+ posterior subcapsular opacity. Poor ability to see contrast, such as in a dark or dimly lit environment. Cortical Spoking or cortical cataracts: Anterior Cortical Cataract (ACC) Posterior Cortical Cataract (PCC) Posterior Subcapsular Cataract (PSC) Nuclear Sclerotic Cataract. Edited by: Benjamin Lin, M. D. Read More. Early cortical cataract development as viewed at the slit lamp using retroillumination. 1. The prediction result gives an opacity. Data collected on these patients included age, ethnicity, sex, preoperative best-corrected visual acuity, cataract grade (nuclear sclerosis vs cortical spoking vs posterior subcapsular), lens thickness, first versus second eye, right versus left eye, birth month and insurance status. Table 2 shows the wavefront aberrations in the entire eye, internal optics of the eye, and cornea with a 6. 0 mm incisions placed 2. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . 033 (bilateral) - H26. Smartphone applications for detecting cataract rely on lens color and texture features, but as noted before, the color-based methods they use aren’t universally. Talk to a doctor now . 3 Cortical. 3 OS Periphery: OD: lattice, pigmented sup. Cortical spoking is seen inferiorly; Less perceived lenticular opacification with retroillumination; Axial zone often appears clear with retroillumination; Ophthalmoscopy. Similarly, the estimated amount of posterior subcapsular cataract (P) is determined by comparing it to another 5 photographs depicting increasing amounts of posterior subcapsular cataract. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. 029 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. H25. 013 for Cortical age-related cataract, bilateral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . more extensive opacification with small minispokes. Start studying Ophtho 5 - Chronic Vision Loss. Retroillumination of the lens. Most people recover vision quickly. After the type of cataract is figured out, then it will be graded. , Shawn Lin, M. Main Outcome Measures. 75/0. YAG. In this study, all younger subjects were graded as clear and all older subjects were graded as +1 nuclear sclerosis or better. 0 using the lens opacities classification system LOCS II before and after pars plana. Asymmetrically located, radial, linear opacities and punctate dots. Study with Quizlet and memorize flashcards containing terms like 75%, free radicals, ion pump changes, insoluble proteins, myopic and more. Full-Field ERG E. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . Approximate Synonyms. The prevalence of senile cortical and senile posterior subcapsular cataract is about 28% and 20% respectively. cortical spoking. Cortical versus Subcortical Strokes. Scarring: Essentially both findings relate to scarring of part of the kidney, possibly due to an old infection or other prior insult to the kidney. The remainder of the examination is normal. H25. Echotexture is nil or black through water ; becomes progressively more white as tissus becomes more dense. B, Late fluorescein angiography (FA) image showing no leakage or staining. ICD-10-CM Codes. 3 OS. Posterior subcapsular (by degree of posterior capsule obscured) 3%. On examination, an anterior subcapsular cataract with cortical spoking, and a well-positioned phakic IOL with potential slight temporal displacement were identified. 35 vertical and horizontal OU. The nerve appearances were consistent. Morgagnian cataract . The cataract looks very dense with a brunescent color behind the white cortical spoking. Ultrasound is study using sound waves whuch either pass through tissue or bounce back. Nuclear sclerosis is a condition in which the nucleus, or central part of the lens of the eye, hardens or gets cloudy. White matter (neuronal axons coated in myelin) is located below the cortex and makes up the "subcortical" regions of the brain. 019 became effective on October 1, 2023. D. 1. The proposed method was successful in accurately classifying the two classes with an accuracy of 85. Share. A, Vacuoles in the periphery of a combined cataract with central PSC plaque. 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. GVF OD with temporal scotoma. 8. 013 - other international versions of ICD-10 H25. Quetiapine was tapered off over 9 days, and an eye examination conducted. The left eye was otherwise unremarkable. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts. Get the Free App for Members. CII cortical spoking that obscures more than 2 full quadrants. -goes up to 4, but everyone does it differently-Some grade appearance-Others: appearance + VAs-does not matter for insurance purposes. Given that the likely cause of her decreased objective visual acuity was her. Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. H25. An examination of the anterior segment of the right eye reveals an anterior subcapsular cataract with cortical spoking. The other source of monocular diplopia is refractile inhomogeneity in the crystalline lens, where cortical spoking makes the image jump a bit as you move back and forth with a monocular ophthalmoscope. 35 OD 0. Any kind of "cortical involution" (i. In this paper, we propose an automatic approach to grade cortical and Posterior Sub-Capsular (PSC) cataracts using retroillumination images. Discover the truth about whether you really need cataract surgery. The median age at diagnosis is 46 years. They may be peripheral only and therefore cause no symptoms. Cortical spoking was not routinely recorded, so this cataract variable was not analyzed, but prior reports have shown minimal effects of vitrectomy on cortical cataract. DFE C. Slit-lamp exam revealed age-related cataracts (2+ nuclear sclerosis, trace posterior subcapsular) and cortical spoking OU. Slit lamp examination showed mild NS, mild cortical spoking OU on the lens, with no other significant findings noted. Pediatric Ophthalmology 29 years experience. 80% APY 12-Month, 5. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. 042--Posterior subcapsular polar senile. It has little or no effect on vision, but the blue-gray appearance of the lens often prompts a misdiagnosis of cataract. in a. Phacoemulsification surgery has proven itself effective with its positive correlation to CDE scores. To compare the results with those obtained using clinical conventional procedures. tous changes. Posterior pole focal chorioretinitis; Posterior pole focal choroiditis; Posterior pole focal retinitis; ICD-10-CM H30. Worldwide, 20,000–40,000 children with congenital or childhood cataract are born every year, and there are an estimated 200,000 children blind from bilateral cataract. METHODS—Eight women and 12 men, mean age 73 years, were included in this study, which was carried out from 1 January 1994 to 30 November 1996. cortical spoking. The 2024 edition of ICD-10-CM H47. Advancing age. ICD-10 Diagnosis Codes: H25. The optometrist diagnoses the. minimal degree of cortical opacification and/or minispoke formation. 후낭하 백내장(PSC) – 수정체 후낭의 혼탁으로 젊은 사람, 스테로이드 사용자 및 당뇨병 환자에게 자주 나타납니다. 011 for Cortical age-related cataract, right eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Angles were open to scleral spur 360 degrees OD, OS without any abnormalities. Image License and Citation Guidelines. 1. Of note, there is a prominent gap between her iris and the anterior lens capsule. One of the rods or braces connecting the hub and. Add to My Bookmarks. ICD-10-CM Code H25. Subscribe to Codify by AAPC and get the code details in a flash. No phacodonesis is evident. Learn how we can help. Hypertension. Cortical Spoking E. 011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 OD, 0. D.