We went on the develop new technologies form maintainingThe arrowheads demonstrate regions of cortical spoking. Ultrasound is study using sound waves whuch either pass through tissue or bounce back. Create flashcards for FREE and quiz yourself with an interactive flipper. This study explores stroke risk factors and clinical variables that may assist in this differentiation. Created for people with ongoing healthcare needs but benefits everyone. Image License and Citation Guidelines. The second type is called nuclear sclerosis and is characterized by a hardening and yellowing of the lens. Cigarette smoking. Completely opacified cortex causing the lens to appear white; no red. Cataracts that start growing at the outer edge of the lens are called cortical cataracts. 269 became effective on October 1, 2023. 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. Z codes represent reasons for encounters. 811 (for right eye) when he says they have nuclear sclerosis cataract and senile cortical cataract. The 2024 edition of ICD-10-CM H26 became effective on October 1, 2023. In this case, there is no serious zonular laxity. 5A. Nuclear sclerotic, cortical (‘spoking’), and subcapsular cataracts will comprise the vast majority of those seen in clinic. Read More. The lack of monocular or homonymous visual field defect makes. protein aggregation b. This is the American ICD-10-CM version of Z68. The ultrastructural correlates of clinical lamellar separations are linear breaks running perpendicularly across bundles of lens fibers, at first resembling an indented fold [16,17,18]. 0 using the lens opacities classification system LOCS II before and after pars plana. 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 . decrease vitamin c absorption d. The following code (s) above H47. Characterized by spoke-like opacities traveling radially from the edge of the lens toward the center (the closer the spokes are to the visual axis, the more likely they are to affect vision). 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. ; however, these changes were mild and inconsistent with his reduced vision. XT. 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. Please. , with a refraction that was nearly identical to the spectacle Rx prescribed by the local optometrist. 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 . Cortical spoking is easily visualized using retro-illumination on the slit-lamp; CLASSIFICATION. ICD-10-CM Code for Cortical age-related cataract, bilateral H25. Cortical visual impairment can. 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. 013 . nuclear cataract is cloudiness in the "core" of your lens. Vacuoles. Subjects: Twenty-six eyes of 26 patients><50 years of age that had. Gray matter (neuronal cell bodies) of the brain forms a rim over the cerebral hemispheres, forming the cerebral cortex. 2 OD, 0. P0 Clear posterior capsule. The revised LCD and related billing and coding article provide coverage for cataract surgery, including complex surgery. If it gets severe enough, it becomes a nuclear. Based on the annual CPT/HCPCS updates, this article was revised to change the long descriptor information for codes 66982, 66983, and 66984. RA Factor - neg. 013) H25. ICD-10-CM Codes. It begins at the nucleus of the eye (the central zone). Eyes were graded on a scale of 0 to 4. Subscribe to Codify by AAPC and get the code details in a flash. 011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Lens: cortical opacities, 1+cortical spoking OU 2+PSC Disc: staphyloma OU, oblique insertion C/D: 0. Open source ophthalmology education for students, residents, fellows, healthcare workers, and clinicians. ICD-10 code H25. See moreA cortical cataract is a cloudy area of the lens that develops on the edge of your eye. Our ASC does a lot of cataract surgeries. The opalescent or milky white appearance of the nucleus with no surrounding brunescence or cortical spoking is pathognomonic. ICD-10 Diagnosis Codes: H25. Increased sun exposure to eyes without UV protection. 24/7 visits - just $44! 50% off with $19/month membership. Study Ocular Disease Midterm flashcards. Cataract: Cortical cataract is a change in the peripheral portion of the crystalline lens which extends centrally. Eyes were graded on a scale of 0 to 4. Even better, you’ll find out the secrets to protecting your. Nuclear sclerosis and cortical spoking accounted for moderate reduced visual acuity in both eyes (OU). View Full Image. 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. 0. Main Outcome Measures. 01 became effective on October 1, 2023. 012 for Cortical age-related cataract, left eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . 1 (Cary, North Carolina, USA) was used for all statistical analyses. cortical spoking. Diabetes. tous changes. 01 - other international versions of ICD-10 H25. Bittner, OD, PhD, Adam Glassman, MS, Kay. There was no evident phacodonesis. 0):. Phacoemulsification surgery has proven itself effective with its positive correlation to CDE scores. Study with Quizlet and memorize flashcards containing terms like Thickest Anteriorly Thinnest Posteriorly, 2/3 water 1/3 protien, Anaerobic metabolism and more. The nerve appearances were consistent. Produced by: Brandon Pham Edited by: Benjamin Lin, M. Created for people with ongoing healthcare needs but benefits everyone. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. Centreville Bank CD Account Promotion (RI) Town & Country Federal Credit Union CD Promotion: 3. Cateratcts A cataract is an opacity of the natural lens of the eye 90% of cataracts are age related Other causes of cataracts: congenital, metabolic, and traumatic etiologies Excessive exposure to sunlight (ultraviolet B rays) without protective lenses over time In the United States, cataract surgery is the most common surgical procedure. 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 . Back of the eye . 3 OS. Pulsating exophthalmos, unspecified eye. Dark adaptometry. Some cataracts result from injuries to the eye, exposure to great heat or radiation, or inherited factors. Main Outcome Measures. Official Long Descriptor. 3: Cortical spoking cataracts Sign in. 4: Posterior subcapsular cataracts Sign in. 5A. XT. Or, simply reference the most commonly used abbreviations the old fashioned way. Learn how we can help. Learn the truth about cataracts, how to catch them early, and how to protect your eyes and vision at any age. 011 is a billable ICD code used to specify a diagnosis of cortical age-related cataract, right eye. Her anterior segments have always been unremarkable, and she has a mild amount of nuclear sclerosis and cortical spoking in each lens. Intraocular pressures were measured as 22mm Hg OD and 21mm Hg OS. 1. CI. Cortical Cataract Grading. , Shawn Lin, M. Learn vocabulary, terms, and more with flashcards, games, and other study tools. These lens changes were symmetric between the eyes. 1. 67mm 2 14yo African American Female VA: cc through CL Distance. and 20/70 O. While there are no scientifically approved medications designed to cure cataracts, there are several treatment options available, including: Prescription Glasses: Since cortical cataracts can result in decreased visual acuity, glasses may be prescribed to make up for the vision loss. Echotexture is nil or black through water ; becomes progressively more white as tissus becomes more dense. Posterior cortical spoking OS Timolol BID OU Brimonidine BID OU Blot hemes inferior-temp Unremarkable 0. white and quiet. Learn how we can help. 35 vertical and horizontal OU. 013. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. 619 became effective on October 1, 2023. Methods: In this prospective, observational, cross-sectional, non. 2: Nuclear sclerotic cataracts. . ; however, these changes were mild and inconsistent with his reduced vision. Each affects a different part of the lens and has different symptoms and progression, although the indication for intervention with all types is the same. Cyclophotocoagulation. Create flashcards for FREE and quiz yourself with an interactive flipper. 013 for Cortical age-related cataract, bilateral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . ICD-10 code H25. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. Causes of Cortical Cataracts. Related: ODs: Redefine your role in glaucoma collaborative care. a cortical spoking cataract is often first seen where due to sun exposure? inferonasal. . Methods: The visual results and. Slit lamp examination showed mild NS, mild cortical spoking OU on the lens, with no other significant findings noted. 042--Posterior subcapsular polar senile. Soon enough you’ll be the one interpreting for the poor student on a medicine service! In the meantime, we hope you’llStudy with Quizlet and memorize flashcards containing terms like pseudophakia, aphakia, subluxation/luxation and more. No evidence of retinal detail. ICD-10-CM Coding Rules. plan indicates risk, benefits, and alternatives discussed. Eyes were graded on a scale of 0 to 4. Cataracts may occur together, and they are. 75/0. Methods: Records of consecutive patients with acute. Although the nuclear change can be subtle on slitlamp biomicroscopic examination, retinoscopy reveals the classic oil droplet silhouetted against the red reflex. 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. Add to My Bookmarks. OBJECTIVE. The following code (s) above H25. Request a Demo 14 Day Free Trial Buy Now. We have assembled a list of common abbreviations that you are bound to encounter. 019 ICD-10 code H25. Diagnosis: Cuneiform Cataract: Comment to photo: Peripheral, wedge-shaped cortical opacities and nucleosklerosis nasally inferior. The 2024 edition of ICD-10-CM H47. 33% was the maximum accuracy. We evaluated the gross morphology, location, and fiber cell architecture of equatorial cortical opacities in the aging human lens. The anterior vitreous of the right eye showed densely packed asteroid hyalosis (Fig. 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. Type in any ophtho term to this translator or copy and paste entire notes to finally decode all those abbreviations. Clinically significant diabetic macular edema. A corresponding procedure code must accompany a Z. H25. The opacity did not seem to be contiguous with the posterior capsule, nor was there a clearly defined space between the two. . 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1. Recent articles discussing cases of brain cancer in interventionalists have raised concerns regarding the hazards of occupational exposure to ionizing radiation. CME MONOGRAPH Ophthalmology Insights ™ Case Studies in Dry Eye Disease, Glaucoma, and Diabetic Macular . It begins at the nucleus of the eye (the central zone). Funduscopically, diffuse, dark brown. If it gets severe enough, it becomes a nuclear cataract. 65/0. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. 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. Disorders of lens. S. Identifying the Severity Cataracts are lens opacities that blur visual images, leading to symptoms like glare, halos, and photosensitivity – one of the leading causes of blindness worldwide. Changes in the water content of the lens fibers create clefts, or fissures, that look like the spokes of a. CII. Main Outcome Measures. 1 If age is the main risk factor for cataract progression, pseudoexfoliation syndrome (PXF) represents an independent additional hazard for the development of nuclear sclerosis. 012. The phakic IOL is well positioned but may exhibit slight temporal displacement. A, Vacuoles in the periphery of a combined cataract with central PSC plaque. U. CII cortical spoking that obscures more than 2 full quadrants. It's one of the most common types of cataracts. 35 may differ. Discuss techniques to evaluate cataracts and effects on vision. 1: Anatomy of the lens. 0 using the lens opacities classification system LOCS II before and after pars plana. grade by quadrants-. No phacodonesis is evident. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. 03 contain annotation back-references that may be applicable to H25. white and quiet. Change in the glasses prescription of the eye. 013 became effective on October 1, 2023. n. Posterior subcapsular cataracts are also more common in younger age groups and are frequently associated with diabetes or. Posterior Subcapsular: The area at the back of the lens develops cloudiness. Cortical Spoking E. Understand…Study with Quizlet and memorize flashcards containing terms like A & O (AAOx3), A/P, AAO and more. A variety of cannula are available for this maneuver, though a surgeon should default to the equipment with. Kataria and Thompson performed a clinical records review to measure the development and rate of progression of nuclear sclerotic (NSC), posterior subcapsular (PSC), and cortical. cortical spoking. what type of shift does a cortical spoking cataract cause? hyperopic. 15. The patient was never told of any retinal problem prior, but examination reveals an epiretinal membrane (ERM) in the right eye. This peripheral part of the lens is call the cortex hence the term cortical spoking. Recent articles discussing cases of brain cancer in interventionalists have raised concerns regarding the hazards of occupational exposure to ionizing radiation. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. Figure 8-12 Cortical cataract demonstrating white cortical spoking. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. Nuclear sclerosis is a normal aging feature due to the compaction of the nuclear region of the lens. 61 - other international versions of ICD-10 H47. 1e), it is known as a nuclear sclerotic cataract (NS. 013 is a valid billable ICD-10 diagnosis code for Cortical age-related cataract, bilateral . The optic nerve showed a cup-to-disc ratio of 0. Eyes Forward – Cataracts – Part 1: Choosing When To Proceed With Surgery – 01. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts. Finally, the presence of a spoke-like structure throughout the lens is known as the cortical spoking cataract, shown in Fig. Approximate Synonyms. more extensive opacification with small minispokes. ANA is neg. 1 In the UK, childhood cataract affects 2. There are 3 primary types of cataracts that represent 99% of the cataracts that you will encounter in clinic. In this paper, we propose an automatic approach to grade cortical and Posterior Sub-Capsular (PSC) cataracts using retroillumination images. ICD-10 code H25. With ICD-9 I'd use 366. Morgagnian cataract . refract to best ability. Study with Quizlet and memorize flashcards containing terms like Cerulean, Cerulean, Sutural and more. D. Describe different cataract types. No phacodonesis is evident. Poor ability to see contrast, such as in a dark or dimly lit environment. Color vision D. reveals an anterior subcapsular cataract with cortical spoking. The optometrist diagnoses the. CIV advanced opacification filling about 90% of the intrapupillary zone Posterior Subcapsular Description Standard. 35K subscribers in the optometry community. 16. Binocular testing makes no sense in monocular diplopia. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. 2 OD, 0. A 6. Her cornea also demonstrated a polygonal pattern of opacities in the posterior stroma with clear intervening spaces, resembling a “crocodile skin. The first type of cataract is called cortical spoking. His cataracts were estimated to account for one, and perhaps two, lines of visual acuity decrease. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. Cortical and posterior subcapsular cataracts are graded instead using retroillumination to evaluate the degree to which the intrapupillary space or posterior. H25. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. We hypothesized that exposure to unclean cooking fuels (ie, wood or kerosene) would be associated with the following: (1) the severity of nuclear sclerotic, cortical spoking, and posterior subcapsular (PSC) cataract in a cross-sectional analysis of baseline data; and (2) cataract progression, measured by a proxy of cataract surgery in a. 042--Posterior subcapsular polar senile cataract, left. Adrenocortical carcinoma (ACC) is a rare tumor with an annual incidence of 2 cases per 1 million population. 70 OS. 011 became effective on October 1, 2023. 2. Fundoscopic examination demonstrated few, fine hard drusen bilaterally and a 0. 4 Cataracts were evaluated at the time of the preoperative visit closest to the date of surgery and on all subsequent postoperative visits. 8. Black dots represent all genotyped SNPs and red dots denote the imputed SNPs from CTNND2 with P<10 −5. The remainder of the examination is normal. People with nuclear sclerosis often describe having a "filmy" sensation in their vision as if looking through a dirty window. Cortical age-related cataract, bilateral. Coding Guidance. Lens: Trace nuclear sclerosis and cortical spoking OU; Dilated fundus examination (DFE): Vitreous: Normal OU; Disc: Normal, pink optic nerves OU; Cup-to-disc ratio: 0. It means "not coded here". 019 became effective on October 1, 2023. Dr. The 2024 edition of ICD-10-CM H25. 011 - other international versions of ICD-10 H25. View Homework Help - HW - C6 - Review exercise + Coding Challenge. . 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. 3 OD OS ERM Central atrophy with RPE hyperplasia. 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. 3 OD OS ERM Central atrophy with RPE hyperplasia Fine NVE??? Thoughts BRVO? OIS?tions werenormal, except for early cortical catarac-Correspondence to Lee M. Created for people with ongoing healthcare needs but benefits everyone. Cataract/Anterior Segment. 013 may differ. 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. White matter (neuronal axons coated in myelin) is located below the cortex and makes up the "subcortical" regions of the brain. and the constancy of symptoms support the concept that the pathology is cortical. 1). The principal opportunities for intra-operative lens trauma occur during removal of dysfunctional recipient endothelium and Descemet. ICD-10 Diagnosis Codes: H25. The posterior segment evaluation after dilation revealed ten punched-out lesions per eye with peripapillary atrophy in both eyes. 40 round with healthy rim tissue OD, OS, without neovascularization of the disc (NVD). 2 OD, 0. clear lens devoid of aggregated dots, flecks, vacuoles and waterclefts. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. 4: Posterior subcapsular cataracts Sign in. There was no evidence of pseudoexfoliation. For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic. Study Spring 2012 Dis Exam 5 (Last Material for final) flashcards. Check My Answer! echo ‘To use a practice module, please login or register for a free account. An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. ’ The opalescent or milky white appearance of the nucleus with no surrounding brunescence or cortical spoking is pathognomonic. 012 for Cortical age-related cataract, left eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . 5A. 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. The likelihood of a problematic iris, weakened zonules, postop glaucoma and serious problems occurring years later are issues a cataract surgeon needs to address before, during and after surgery. 35 - other international versions of ICD-10 Z68. A loss of vision (or an increased loss in vision) Vision that only occurs in one of your eyes (this is technically known as monocular diplopia) Glare from the sun or from artificial lighting. B, Typical cortical spokes. Le, MA, Susan Hutfless, SM, PhD, Tianjing Li, MD, MHS, PhD, Neil M. 042--Posterior subcapsular polar senile. cortical spoking. Comments. Figure 8-12. Or, simply reference the most commonly used abbreviations the old fashioned way. Her cup-to-disc ratios were 0. Note the yellowing of the nucleus (nuclear sclerosis) and cortical spoking (cortical cataract) in this combined cataract. These changes may be extensive but may not affect. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . A cortical cataract is an opacity in the outer layer, or cortex, of the natural lens. Hypertension. 013 (Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral). ICD-10-CM S43. 032 (left eye) - H26. Diagnosis 2: Nuclear Cataracts. Central retinal artery occlusion. Thank. e. 1c [1]. Pediatric Ophthalmology 29 years experience. H25. Cataract/Anterior Segment. People with nuclear sclerosis often describe having a "filmy" sensation in their vision as if looking through a dirty window. Cortical Cataracts. Central serous (chorio) retinopathy. This guide from Harvard Medical School provides evidence-based solutions, tips, and resources for people who want to know more about cataract surgery or who want to delay it. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . It can cause blurry vision, double vision, glare,. 4 OPHTH 15 AFHSB Surveillance Case Definitions FINAL August 2016 - H26. Cortical spoking is seen inferiorly; Less perceived lenticular opacification with retroillumination; Axial zone often appears clear with retroillumination; Ophthalmoscopy. 011Cortical age-related cataract, right eye. The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. Cataract still remains the world’s leading cause of blindness and visual impairment in the elderly population, despite the decreasing number of people affected. Cortical Spoking Explanation: - PSC is more of a concern. (C) A higher magnification of an Arvcf−/− lens with a disruption at the anterior pole that occurs along a suture line. 35. The area of kideney fuction, filtration ; reabsorbtion. Given that the likely cause of her decreased objective visual acuity was her. SAS software version 9. Eyes were graded on a scale of 0 to 4. 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. 04 - other international versions of ICD-10 H25. Dark/hypoechoic texture is usually better. Is cortical spoking a type of cataract? 3 doctor answers • 5 doctors weighed in. . 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. What is a cortical spoking cataract? Moderate cortical changes. 03 may differ. C, Horizontal optical coherence tomography (OCT) showing retinoschisis extending into the optic nerve. Ophthalmology 27 years experience. Learn faster with spaced repetition. IOP was consistently under 18mmHg on every visit. Study SCLERAL, LENS OCULAR DISEASE flashcards. Subscribe to Codify by AAPC and get. 0 mm pupil in the cortical, nuclear, and posterior subcapsular cataract groups. The lens characteristics in both eyes showed 2+ to 3 nuclear sclerosis and cortical spoking extending closely into the visual axis. On examination, an anterior subcapsular cataract with cortical spoking, and a well-positioned phakic IOL with potential slight temporal displacement were identified. Here, surgeons share their experience and advice for. YAG. Cataract scoring for the first 6. Get the Free App for Members. Asymmetrically located, radial, linear opacities and punctate dots. What are the symptoms of cortical spoking cataract? The symptoms of cortical spoking cataract can include blurred or hazy vision, difficulty seeing in bright light, increased sensitivity to glare, difficulty distinguishing colors, and double vision in one eye. " Platelets - 487. D. intermittent exotropia. The 2024 edition of ICD-10-CM H25.