ICD-10 Code H40.013 – Open angle with borderline findings, low risk, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Open angle with borderline findings, low risk, bilateral is H40.013.
2026 ICD-10-CM Diagnosis Code H40.013 – Open angle with borderline findings, low risk, bilateral

What it is

This code identifies bilateral open-angle glaucoma suspect status with borderline findings and low risk. It is used when the optic nerve or other glaucoma markers are not clearly normal, but glaucoma is not established.

Clinical signs

Findings may include suspicious optic disc appearance, borderline visual field changes, or other glaucoma-suspect features. Clinical features vary; refer to documentation.

When to use this code

Use H40.013 when the provider documents borderline open-angle findings in both eyes and specifically notes low risk. It fits glaucoma surveillance visits where the patient is being monitored rather than treated for confirmed glaucoma. Use the code only when bilateral involvement is documented.

Do not use for

Do not use this code for confirmed open-angle glaucoma, ocular hypertension without borderline findings, or unilateral disease. Check documentation if the record does not clearly state low risk and bilateral involvement.

Coding tip

Verify that “borderline findings,” “low risk,” and “bilateral” are all documented before assigning H40.013.

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