2008 ICD-9-CM Volume 1 Diagnosis Codes Home > Diseases Of The Nervous System And Sense Organs 320-389 > Disorders Of The Eye And Adnexa 360-379 >
  Strabismus and other disorders of binocular eye movements- 378 is a non-specific code that cannot be used to specify a diagnosis
  Esotropia- A form of ocular misalignment characterized by an excessive convergence of the visual axes, resulting in a "cross-eye" appearance. An example of this condition occurs when paralysis of the lateral rectus muscle causes an abnormal inward deviation of one eye on attempted gaze.
- 378.0 is a non-specific code that cannot be used to specify a diagnosis
  Esotropia unspecified- A form of ocular misalignment characterized by an excessive convergence of the visual axes, resulting in a "cross-eye" appearance. An example of this condition occurs when paralysis of the lateral rectus muscle causes an abnormal inward deviation of one eye on attempted gaze.
- 378.00 is a specific code that can be used to specify a diagnosis
- 378.00 contains 5 index entries
  Monocular esotropia- 378.01 is a specific code that can be used to specify a diagnosis
- 378.01 contains 1 index entry
  Monocular esotropia with a pattern- 378.02 is a specific code that can be used to specify a diagnosis
- 378.02 contains 1 index entry
  Monocular esotropia with v pattern- 378.03 is a specific code that can be used to specify a diagnosis
- 378.03 contains 1 index entry
  Monocular esotropia with other noncomitancies- 378.04 is a specific code that can be used to specify a diagnosis
- 378.04 contains 3 index entries
  Alternating esotropia- 378.05 is a specific code that can be used to specify a diagnosis
- 378.05 contains 1 index entry
  Alternating esotropia with a pattern- 378.06 is a specific code that can be used to specify a diagnosis
- 378.06 contains 1 index entry
  Alternating esotropia with v pattern- 378.07 is a specific code that can be used to specify a diagnosis
- 378.07 contains 1 index entry
  Alternating esotropia with other noncomitancies- 378.08 is a specific code that can be used to specify a diagnosis
- 378.08 contains 3 index entries
  Exotropia- A form of ocular misalignment where the visual axes diverge inappropriately. For example, medial rectus muscle weakness may produce this condition as the affected eye will deviate laterally upon attempted forward gaze. An exotropia occurs due to the relatively unopposed force exerted on the eye by the lateral rectus muscle, which pulls the eye in an outward direction.
- 378.1 is a non-specific code that cannot be used to specify a diagnosis
  Exotropia unspecified- A form of ocular misalignment where the visual axes diverge inappropriately. For example, medial rectus muscle weakness may produce this condition as the affected eye will deviate laterally upon attempted forward gaze. An exotropia occurs due to the relatively unopposed force exerted on the eye by the lateral rectus muscle, which pulls the eye in an outward direction.
- 378.10 is a specific code that can be used to specify a diagnosis
- 378.10 contains 3 index entries
  Monocular exotropia- 378.11 is a specific code that can be used to specify a diagnosis
- 378.11 contains 1 index entry
  Monocular exotropia with a pattern- 378.12 is a specific code that can be used to specify a diagnosis
- 378.12 contains 1 index entry
  Monocular exotropia with v pattern- 378.13 is a specific code that can be used to specify a diagnosis
- 378.13 contains 1 index entry
  Monocular exotropia with other noncomitancies- 378.14 is a specific code that can be used to specify a diagnosis
- 378.14 contains 3 index entries
  Alternating exotropia- 378.15 is a specific code that can be used to specify a diagnosis
- 378.15 contains 1 index entry
  Alternating exotropia with a pattern- 378.16 is a specific code that can be used to specify a diagnosis
- 378.16 contains 1 index entry
  Alternating exotropia with v pattern- 378.17 is a specific code that can be used to specify a diagnosis
- 378.17 contains 1 index entry
  Alternating exotropia with other noncomitancies- 378.18 is a specific code that can be used to specify a diagnosis
- 378.18 contains 3 index entries
  Intermittent heterotropia- 378.2 is a non-specific code that cannot be used to specify a diagnosis
  Intermittent heterotropia unspecified- 378.20 is a specific code that can be used to specify a diagnosis
- 378.20 contains 4 index entries
  Intermittent esotropia monocular- 378.21 is a specific code that can be used to specify a diagnosis
- 378.21 contains 2 index entries
  Intermittent esotropia alternating- 378.22 is a specific code that can be used to specify a diagnosis
- 378.22 contains 2 index entries
  Intermittent exotropia monocular- 378.23 is a specific code that can be used to specify a diagnosis
- 378.23 contains 2 index entries
  Intermittent exotropia alternating- 378.24 is a specific code that can be used to specify a diagnosis
- 378.24 contains 2 index entries
  Other and unspecified heterotropia- 378.3 is a non-specific code that cannot be used to specify a diagnosis
  Heterotropia unspecified- Misalignment of the visual axes of the eyes. In comitant strabismus the degree of ocular misalignment does not vary with the direction of gaze. In noncomitant strabismus the degree of misalignment varies depending on direction of gaze or which eye is fixating on the target. (Miller, Walsh & Hoyt's Clinical Neuro-Ophthalmology, 4th ed, p641)
- 378.30 is a specific code that can be used to specify a diagnosis
- 378.30 contains 3 index entries
  Hypertropia- 378.31 is a specific code that can be used to specify a diagnosis
- 378.31 contains 5 index entries
  Hypotropia- 378.32 is a specific code that can be used to specify a diagnosis
- 378.32 contains 1 index entry
  Cyclotropia- 378.33 is a specific code that can be used to specify a diagnosis
- 378.33 contains 3 index entries
  Monofixation syndrome- 378.34 is a specific code that can be used to specify a diagnosis
- 378.34 contains 3 index entries
  Accommodative component in esotropia- 378.35 is a specific code that can be used to specify a diagnosis
- 378.35 contains 1 index entry
  Heterophoria- 378.4 is a non-specific code that cannot be used to specify a diagnosis
  Heterophoria unspecified- 378.40 is a specific code that can be used to specify a diagnosis
- 378.40 contains 5 index entries
  Esophoria- 378.41 is a specific code that can be used to specify a diagnosis
- 378.41 contains 2 index entries
  Exophoria- 378.42 is a specific code that can be used to specify a diagnosis
- 378.42 contains 2 index entries
  Vertical heterophoria- 378.43 is a specific code that can be used to specify a diagnosis
- 378.43 contains 2 index entries
  Cyclophoria- 378.44 is a specific code that can be used to specify a diagnosis
- 378.44 contains 3 index entries
  Alternating hyperphoria- 378.45 is a specific code that can be used to specify a diagnosis
- 378.45 contains 2 index entries
  Paralytic strabismus- 378.5 is a non-specific code that cannot be used to specify a diagnosis
  Paralytic strabismus unspecified- 378.50 is a specific code that can be used to specify a diagnosis
- 378.50 contains 5 index entries
  Third or oculomotor nerve palsy partial- 378.51 is a specific code that can be used to specify a diagnosis
- 378.51 contains 12 index entries
  Third or oculomotor nerve palsy total- 378.52 is a specific code that can be used to specify a diagnosis
- 378.52 contains 14 index entries
  Fourth or trochlear nerve palsy- 378.53 is a specific code that can be used to specify a diagnosis
- 378.53 contains 12 index entries
  Sixth or abducens nerve palsy- Diseases of the sixth cranial (abducens) nerve or its nucleus in the pons. The nerve may be injured along its course in the pons, intracranially as it travels along the base of the brain, in the cavernous sinus, or at the level of superior orbital fissure or orbit. Dysfunction of the nerve causes lateral rectus muscle weakness, resulting in horizontal diplopia that is maximal when the affected eye is abducted and ESOTROPIA. Common conditions associated with nerve injury include INTRACRANIAL HYPERTENSION; CRANIOCEREBRAL TRAUMA; ISCHEMIA; and INFRATENTORIAL NEOPLASMS.
- 378.54 is a specific code that can be used to specify a diagnosis
- 378.54 contains 13 index entries
  External ophthalmoplegia- 378.55 is a specific code that can be used to specify a diagnosis
- 378.55 contains 10 index entries
  Total ophthalmoplegia- 378.56 is a specific code that can be used to specify a diagnosis
- 378.56 contains 2 index entries
  Mechanical strabismus- 378.6 is a non-specific code that cannot be used to specify a diagnosis
  Mechanical strabismus unspecified- 378.60 is a specific code that can be used to specify a diagnosis
- 378.60 contains 4 index entries
  Brown's (tendon) sheath syndrome- 378.61 is a specific code that can be used to specify a diagnosis
- 378.61 contains 3 index entries
  Mechanical strabismus from other musculofascial disorders- 378.62 is a specific code that can be used to specify a diagnosis
- 378.62 contains 2 index entries
  Limited duction associated with other conditions- 378.63 is a specific code that can be used to specify a diagnosis
- 378.63 contains 2 index entries
  Other specified strabismus- 378.7 is a non-specific code that cannot be used to specify a diagnosis
  Duane's syndrome- A syndrome characterized by marked limitation of abduction of the eye, variable limitation of adduction and retraction of the globe, and narrowing of the palpebral fissure on attempted adduction. The condition is caused by aberrant innervation of the lateral rectus by fibers of the oculomotor nerve. There are three subtypes: type 1 (associated with loss of abduction), type 2 (associated with loss of adduction), and type 3 (loss of abduction and adduction). Two loci for Duane retraction syndrome have been located, one at chromosome 8q13 (DURS1) and another at chromosome 2q31(DURS2). It is usually caused by congenital hypoplasia of the abducens nerve or nucleus, but may rarely represent an acquired syndrome. (Adams et al., Principles of Neurology, 6th ed, p271; Miller et al., Clinical Neuro-Ophthalmology, 4th ed, p691)
- 378.71 is a specific code that can be used to specify a diagnosis
- 378.71 contains 11 index entries
  Progressive external ophthalmoplegia- A mitochondrial myopathy characterized by slowly progressive paralysis of the levator palpebrae, orbicularis oculi, and extraocular muscles. Ragged-red fibers and atrophy are found on muscle biopsy. Familial and sporadic forms may occur. Disease onset is usually in the first or second decade of life, and the illness slowly progresses until usually all ocular motility is lost. (From Adams et al., Principles of Neurology, 6th ed, p1422)
- 378.72 is a specific code that can be used to specify a diagnosis
- 378.72 contains 5 index entries
  Strabismus in other neuromuscular disorders- 378.73 is a specific code that can be used to specify a diagnosis
- 378.73 contains 2 index entries
  Other disorders of binocular eye movements- 378.8 is a non-specific code that cannot be used to specify a diagnosis
  Palsy of conjugate gaze- 378.81 is a specific code that can be used to specify a diagnosis
- 378.81 contains 12 index entries
  Spasm of conjugate gaze- 378.82 is a specific code that can be used to specify a diagnosis
- 378.82 contains 3 index entries
  Convergence insufficiency or palsy- 378.83 is a specific code that can be used to specify a diagnosis
- 378.83 contains 3 index entries
  Convergence excess or spasm- 378.84 is a specific code that can be used to specify a diagnosis
- 378.84 contains 3 index entries
  Anomalies of divergence- 378.85 is a specific code that can be used to specify a diagnosis
- 378.85 contains 5 index entries
  Internuclear ophthalmoplegia- 378.86 is a specific code that can be used to specify a diagnosis
- 378.86 contains 4 index entries
  Other dissociated deviation of eye movements- 378.87 is a specific code that can be used to specify a diagnosis
- 378.87 contains 8 index entries
  Unspecified disorder of eye movements- Disorders that feature impairment of eye movements as a primary manifestation of disease. These conditions may be divided into infranuclear, nuclear, and supranuclear disorders. Diseases of the eye muscles or oculomotor cranial nerves (III, IV, and VI) are considered infranuclear. Nuclear disorders are caused by disease of the oculomotor, trochlear, or abducens nuclei in the BRAIN STEM. Supranuclear disorders are produced by dysfunction of higher order sensory and motor systems that control eye movements, including neural networks in the CEREBRAL CORTEX; BASAL GANGLIA; CEREBELLUM; and BRAIN STEM. Ocular torticollis refers to a head tilt that is caused by an ocular misalignment. Opsoclonus refers to rapid, conjugate oscillations of the eyes in multiple directions, which may occur as a parainfectious or paraneoplastic condition (e.g., OPSOCLONUS-MYOCLONUS SYNDROME). (Adams et al., Principles of Neurology, 6th ed, p240)
- Misalignment of the visual axes of the eyes. In comitant strabismus the degree of ocular misalignment does not vary with the direction of gaze. In noncomitant strabismus the degree of misalignment varies depending on direction of gaze or which eye is fixating on the target. (Miller, Walsh & Hoyt's Clinical Neuro-Ophthalmology, 4th ed, p641)
- Paralysis of one or more of the ocular muscles due to disorders of the eye muscles, neuromuscular junction, supporting soft tissue, tendons, or innervation to the muscles.
- 378.9 is a specific code that can be used to specify a diagnosis
- 378.9 contains 13 index entries
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