Anterior capsular phimosis is the centripetal fibrosis and contraction of the capsulorhexis after cataract extraction. Individuals with zonular laxity are at increased risk for this condition.
What is capsule contraction syndrome?
Abstract. Capsule contraction syndrome is an exaggerated reduction in anterior capsulectomy and capsular bag diameter after extracapsular cataract surgery. While rarely seen with can-opener-style capsulectomies with anterior radial capsular tears, it is relatively frequent with capsulorhexis.
What is the ICD 10 code for zonular weakness?
Zonular weakness, as occurs with pseudoexfoliation (H26. 8 or H40.
What is anterior capsule opacification?
Anterior Capsule Opacification (ACO) Opacification of the residual peripheral anterior capsule is known as anterior capsule opacification (Figure 2A). This is pronounced in eyes in which a continuous curvilinear capsular opening overlaps the IOL edge and peripheral anterior IOL surface (5, 6).
What is the ICD 10 CM code for phimosis?
N47.1
N47. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How do I code for capsular phimosis and Bill for anterior capsulotomy?
Question: How do I code for capsular phimosis and bill for an anterior capsulotomy? Answer: There is no existing CPT code for capsular phimosis, so report the unlisted CPT code 66999. List the surgical procedure in the narrative box 19, so the payer will know what was performed.
What is the pathophysiology of anterior capsular phimosis?
Contributor: Jesse Vislisel, MD. Anterior capsular phimosis is the centripetal fibrosis and contraction of the capsulorhexis after cataract extraction. Individuals with zonular laxity are at increased risk for this condition.
What are the treatment options for phimosis?
Mild to moderate amounts of phimosis are usually not visually significant, but severe cases may require treatment by Nd:YAG laser anterior capsulotomy. Figure1.
How do ophthalmologists perform an anterior capsulotomy?
Most ophthalmologists perform Nd:YAG LASER anterior capsulotomy which is a simple and painless outpatient procedure. Typically 4 or more approximately 1mm radial nicks placed onto the fibrotic anterior capsular annulus are effective in stopping the progression of contraction of the anterior capsule.
