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New ICD-9-CM Diagnosis Code for Vitreomacular Adhesion (VMA) and Vitreomacular Traction (VMT)

New ICD-9-CM Diagnosis Code 379.27 for Vitreomacular Adhesion (VMA) and Vitreomacular Traction (VMT)

  • The ICD-9-CM diagnosis code 379.27 for VMA and VMT has been added, effective October 1, 2011
  • The American Society of Retina Specialists (ASRS) endorses this new code for VMA and VMT
  • ASRS urges all third-party payers to update their optical coherence tomography (OCT) coverage policy as well as claims processing systems to reflect this new code



Vitreomacular Adhesion (VMA) Is a Progressive Disease

  • VMA is an increasingly recognized sight-threatening disease in which the adhesion between the vitreous and the macula does not weaken sufficiently to allow for separation of vitreous1

Vitreomacular Traction (VMT) Can Cause Decreased Vision

  • Persistent VMA can cause traction resulting in anatomical damage at the vitreoretinal interface, often referred to as VMT 2, 3

Symptoms and Visual Consequences of Vitreomacular Adhesion (VMA) and Vitreomacular Traction (VMT)

  • VMA and VMT can lead to symptoms (i.e. symptomatic VMA), such as metamorphopsia, decreased visual acuity, and central visual field defect 4-6
  • VMA and VMT may lead to severe visual consequences, including macular hole and retinal tear or detachment 2, 3

1. Schneider EW, Johnson MW. Emerging nonsurgical methods for the treatment of vitreomacular adhesion: a review. Clin Ophthalmol. 2011;5:1151-1165.
2. Gallemore RP, Jumper JM, McCuen BW II, Jaffe GJ, Postel EA, Toth CA. Diagnosis of vitreoretinal adhesions in macular disease with optical coherence tomography. Retina. 2000;20:115-120.
3. Mitry D, Fleck BW, Wright AF, Campbell H, Charteris DG. Pathogenesis of rhegmatogenous retinal detachment: predisposing anatomy and cell biology. Retina. 2010;30:1561-1572.
4. Irvine SR. A newly defined vitreous syndrome following cataract surgery, interpreted according to recent concepts of the structure of the vitreous. Am J Ophthalmol. 1953;35:599-619.
5. Jaffe NS. Vitreous traction at the posterior pole of the fundus due to alterations in the vitreous posterior. Trans Am Acad Ophthalmol Otolaryngol. 1967;71(4):642-652.
6. Reese AB, Jones IS, Cooper WC. Macular changes secondary to vitreous traction. Am J Ophthalmol. 1967;64(3):Suppl:544-549.