ICD-10 Code H40.023 – Open angle with borderline findings, high risk, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Open angle with borderline findings, high risk, bilateral is H40.023.
2026 ICD-10-CM Diagnosis Code H40.023 – Open angle with borderline findings, high risk, bilateral

What it is

This code identifies bilateral open-angle glaucoma suspect status with borderline optic nerve or visual field findings and a high risk of developing glaucoma. Use it when the record shows concern for progression, but not confirmed glaucoma.

Clinical signs

Findings may include suspicious optic nerve cupping, borderline visual field changes, or elevated intraocular pressure. Clinical features vary; refer to documentation.

When to use this code

Use H40.023 when both eyes have open-angle borderline findings and the provider documents high risk for glaucoma. It fits follow-up visits for monitoring a glaucoma suspect, especially when the diagnosis remains unconfirmed. Check documentation if the risk basis is unclear.

Do not use for

Do not use this code for confirmed open-angle glaucoma or for borderline findings in only one eye. It is also not appropriate when the chart does not document high risk.

Coding tip

Verify bilateral involvement and the provider’s glaucoma-suspect assessment before assigning H40.023.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *