R09.81 - Nasal congestion

Clinical Definition

Exudative age-related macular degeneration (wet AMD) is characterized by abnormal blood vessel growth under the retina that leaks fluid and blood, causing rapid and severe central vision loss.

Documentation Requirements

• Laterality: Must specify right eye, left eye, or bilateral

• Stage/Type: Document as "exudative" or "wet" type

• Active Status: Note if currently active or in remission

• Visual Acuity: Document current vision measurements

• Presence of:

  • Choroidal neovascularization (CNV)

  • Subretinal fluid/hemorrhage

  • Retinal pigment epithelial detachment

• Treatment Plan: Anti-VEGF injections or other interventions

Common Synonyms

• Wet macular degeneration

• Neovascular AMD

• Wet AMD

• Advanced macular degeneration

• Bleeding in the back of the eye

Coding Conflicts

Excludes1:

• Dry age-related macular degeneration

• Diabetic macular edema

• Secondary macular degeneration

Scribing.io Automation

Our AI scribe automatically:

• Detects keywords indicating wet AMD ("exudative," "CNV," "subretinal fluid")

• Captures laterality from exam notes

• Links visual acuity measurements

• Tags anti-VEGF treatment plans

• Differentiates from dry AMD mentions

• Flags missing documentation elements for physician review