K58.1 - Irritable bowel syndrome with constipation

Clinical Definition

Exfoliation syndrome affects the anterior segment of the eye, characterized by the production and progressive accumulation of abnormal fibrillar extracellular material throughout the anterior segment structures. It primarily affects the lens capsule, pupillary margin, and anterior chamber angle.

Documentation Requirements

• Laterality must be specified (right, left, bilateral)

• Stage or severity of glaucoma if present

• Documented visualization of exfoliative material on:

  • Anterior lens capsule

  • Pupillary margin

  • Anterior chamber angle

• Associated conditions:

  • Presence/absence of glaucoma

  • Changes in intraocular pressure (IOP)

• Visual acuity measurements

• Any systemic associations (if present)

Common Synonyms

• Pseudoexfoliation syndrome (PXF)

• XFS

• Pseudoexfoliative glaucoma (if glaucoma present)

• Viking disease (historical term)

Coding Conflicts

Excludes1:

• Primary open-angle glaucoma

• Capsular glaucoma with pseudoexfoliation of lens

• Simple senile degeneration of lens

Scribing.io Automation

The AI scribe automatically identifies and captures:

• Key phrases like "exfoliation material present"

• Specific anatomical locations of deposits

• IOP measurements

• Laterality mentions

• Associated glaucoma terminology

• Visual acuity measurements

• Treatment plans related to exfoliation syndrome management

The system flags these elements and prompts for additional specificity if documentation is insufficient for optimal coding.