ICD 10 CM D31.31 | Description & Clinical Information

ICD 10 D31.31 describes a medical condition characterized by the presence of a benign neoplasm, or noncancerous mass of abnormal cells, in the right choroid, a layer of tissue in the eye that contains blood vessels and provides nourishment to the retina, with risk factors including advanced age, a history of spots or moles in the eyes, exposure to UV light, and genetic predisposition, and which does not have the ability to spread to nearby tissues or organs.

Official Description Of D31.31

The ICD 10 CM book defines ICD 10 code D31.31 as:

Benign neoplasm of right choroid
Parent Code Notes: D31

Excludes1: benign neoplasm of connective tissue of eyelid (D21.0)
benign neoplasm of optic nerve (D33.3)
benign neoplasm of skin of eyelid (D22.1-, D23.1-)

Clinical Information

The diagnosis describes by the ICD 10 CM D31.31 code is a benign neoplasm of the choroid, which is the layer of the eye responsible for providing blood and nutrients to the retina. This type of tumor usually develops slowly and does not cause noticeable symptoms until it significantly increases in size.

Patients with this condition commonly present with pain in the eye and blurred vision, and they may also experience the loss of part of their field of vision. In some cases, patients may see flashes of light or spots that can be red or light-colored due to deposits in the vitreous of the eye. Additionally, sensitivity to light may be a symptom in some patients.

To make a proper diagnosis, medical providers typically rely on the patient’s history and physical examination. They may also conduct various diagnostic tests, including biopsy of the ocular lesions, to confirm the diagnosis.

Imaging studies such as ultrasound of the eye, fluorescein angiography, computed tomography (CT) scan, magnetic resonance imaging (MRI), and positron emission tomography (PET) may also be used to evaluate the size and location of the tumor.

When the tumor increases in size and causes discomfort, the medical provider may recommend treatment options. Surgical removal of the tumor is a common approach, and it usually leads to a successful outcome. However, depending on the location of the tumor, surgery may carry a risk of potential complications.

Other therapies include cryotherapy and laser therapy, which involves using extreme cold or heat to destroy the tumor. These options are typically recommended for patients who are not candidates for surgical removal.

The prognosis for patients with choroidal neoplasms depends on the severity of the disease. While this type of tumor is usually benign, large tumors may lead to significant vision loss and other complications. Regular follow-up appointments with a medical provider are necessary to monitor the progression and treatment of the tumor.

In summary, the ICD 10 CM D31.31 diagnosis code is used to describe choroidal neoplasms, which can cause pain, blurred vision, and loss of field vision in affected patients. Diagnosis is typically based on the patient’s history and physical examination, as well as diagnostic and imaging tests. Treatment options include surgical removal, cryotherapy, and laser therapy, and the prognosis depends on the size and severity of the tumor. Regular medical follow-up appointments are essential for monitoring the progression of the tumor and ensuring proper treatment.

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