ICD-10 Code H40.01 – Open angle with borderline findings, low risk (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Open angle with borderline findings, low risk is H40.01.
2026 ICD-10-CM Diagnosis Code H40.01 – Open angle with borderline findings, low risk

What it is

H40.01 identifies an open-angle glaucoma suspect with borderline findings and low estimated risk. Use it when the optic nerve or other glaucoma-related findings are not clearly diagnostic of glaucoma.

Clinical signs

Findings may include borderline optic nerve appearance, suspicious cup-to-disc changes, or other equivocal glaucoma features. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents open-angle borderline findings and specifically states low risk. It fits surveillance visits where glaucoma is suspected but not confirmed. Do not use it for established glaucoma or when the record does not support the risk level.

Do not use for

Do not use this code for confirmed open-angle glaucoma, ocular hypertension alone, or other glaucoma types. Check documentation if the note does not clearly identify borderline findings with low risk.

Coding tip

Code the exact documented risk level; if low risk is not stated, do not assume H40.01.

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