Accommodation Disorder F048
Current RMA Instruments
| 21 of 2026 | |
| 22 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H52.5
Brief description
Accommodation disorder is a condition in which there is an inability to adjust the lens of the eye to focus on objects at different distances, or an inability to sustain such adjustment over time. This results in difficulty maintaining clear vision, particularly when shifting focus between near and distant objects.
For the purposes of this SOP, accommodation disorder excludes conditions primarily affecting the lens or shape of the eye, including presbyopia, cataract, myopia, hypermetropia, and astigmatism. It also excludes accommodative excess and temporary (pharmacologically induced) paralysis of accommodation, unless the causative medication cannot be ceased or substituted.
Confirming the diagnosis
The diagnosis is made on clinical grounds, based on history and examination of visual function, including assessment of accommodation and focusing ability.
Diagnosis and management are typically undertaken by an optometrist or ophthalmologist.
Additional diagnoses covered by the SOP
- Accommodative insufficiency
- Accommodative infacility
Conditions not covered by the SOP
- Astigmatism * - Visual Refractive Error SOP
- Cataract *
- Hypermetropia * - Visual Refractive Error SOP
- Myopia * - Visual Refractive Error SOP
- Presbyopia - revoked SOP (cannot be related to service)
- Accommodative access #
- Reversible pharmacological paralysis of accommodation pharmacological agents (when such medications cannot be ceased or substituted)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the earliest time at which symptoms consistent with impaired accommodation were first present. Because symptoms are often non-specific, it may be difficult to determine onset prior to diagnosis. Where symptoms follow a specific event, such as an injury or medication use, onset may be dated to that event.
Clinical worsening
Clinical worsening may be indicated by a decline in accommodative function beyond that expected for age. Assessment typically requires optometrist or ophthalmologist evaluation, and management is usually conservative, most commonly with correctives lenses.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/accommodation-disorder-f048-h525
Onset and Factor Information for Accommodation Disorder
Current RMA Instruments
| 21 of 2026 | |
| 22 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H52.5
Brief description
Accommodation disorder is a condition in which there is an inability to adjust the lens of the eye to focus on objects at different distances, or an inability to sustain such adjustment over time. This results in difficulty maintaining clear vision, particularly when shifting focus between near and distant objects.
For the purposes of this SOP, accommodation disorder excludes conditions primarily affecting the lens or shape of the eye, including presbyopia, cataract, myopia, hypermetropia, and astigmatism. It also excludes accommodative excess and temporary (pharmacologically induced) paralysis of accommodation, unless the causative medication cannot be ceased or substituted.
Confirming the diagnosis
The diagnosis is made on clinical grounds, based on history and examination of visual function, including assessment of accommodation and focusing ability.
Diagnosis and management are typically undertaken by an optometrist or ophthalmologist.
Additional diagnoses covered by the SOP
- Accommodative insufficiency
- Accommodative infacility
Conditions not covered by the SOP
- Astigmatism * - Visual Refractive Error SOP
- Cataract *
- Hypermetropia * - Visual Refractive Error SOP
- Myopia * - Visual Refractive Error SOP
- Presbyopia - revoked SOP (cannot be related to service)
- Accommodative access #
- Reversible pharmacological paralysis of accommodation pharmacological agents (when such medications cannot be ceased or substituted)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the earliest time at which symptoms consistent with impaired accommodation were first present. Because symptoms are often non-specific, it may be difficult to determine onset prior to diagnosis. Where symptoms follow a specific event, such as an injury or medication use, onset may be dated to that event.
Clinical worsening
Clinical worsening may be indicated by a decline in accommodative function beyond that expected for age. Assessment typically requires optometrist or ophthalmologist evaluation, and management is usually conservative, most commonly with correctives lenses.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/accommodation-disorder-f048-h525/rulebase-accommodation-disorder
Inability to obtain appropriate clinical management for accommodation disorder
Current RMA Instruments
| 21 of 2026 | |
| 22 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H52.5
Brief description
Accommodation disorder is a condition in which there is an inability to adjust the lens of the eye to focus on objects at different distances, or an inability to sustain such adjustment over time. This results in difficulty maintaining clear vision, particularly when shifting focus between near and distant objects.
For the purposes of this SOP, accommodation disorder excludes conditions primarily affecting the lens or shape of the eye, including presbyopia, cataract, myopia, hypermetropia, and astigmatism. It also excludes accommodative excess and temporary (pharmacologically induced) paralysis of accommodation, unless the causative medication cannot be ceased or substituted.
Confirming the diagnosis
The diagnosis is made on clinical grounds, based on history and examination of visual function, including assessment of accommodation and focusing ability.
Diagnosis and management are typically undertaken by an optometrist or ophthalmologist.
Additional diagnoses covered by the SOP
- Accommodative insufficiency
- Accommodative infacility
Conditions not covered by the SOP
- Astigmatism * - Visual Refractive Error SOP
- Cataract *
- Hypermetropia * - Visual Refractive Error SOP
- Myopia * - Visual Refractive Error SOP
- Presbyopia - revoked SOP (cannot be related to service)
- Accommodative access #
- Reversible pharmacological paralysis of accommodation pharmacological agents (when such medications cannot be ceased or substituted)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the earliest time at which symptoms consistent with impaired accommodation were first present. Because symptoms are often non-specific, it may be difficult to determine onset prior to diagnosis. Where symptoms follow a specific event, such as an injury or medication use, onset may be dated to that event.
Clinical worsening
Clinical worsening may be indicated by a decline in accommodative function beyond that expected for age. Assessment typically requires optometrist or ophthalmologist evaluation, and management is usually conservative, most commonly with correctives lenses.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/accommodation-disorder-f048-h525/rulebase-accommodation-disorder/inability-obtain-appropriate-clinical-management-accommodation-disorder
Injury or disorder affecting the function of the oculomotor nerve or ciliary muscle
Current RMA Instruments
| 21 of 2026 | |
| 22 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H52.5
Brief description
Accommodation disorder is a condition in which there is an inability to adjust the lens of the eye to focus on objects at different distances, or an inability to sustain such adjustment over time. This results in difficulty maintaining clear vision, particularly when shifting focus between near and distant objects.
For the purposes of this SOP, accommodation disorder excludes conditions primarily affecting the lens or shape of the eye, including presbyopia, cataract, myopia, hypermetropia, and astigmatism. It also excludes accommodative excess and temporary (pharmacologically induced) paralysis of accommodation, unless the causative medication cannot be ceased or substituted.
Confirming the diagnosis
The diagnosis is made on clinical grounds, based on history and examination of visual function, including assessment of accommodation and focusing ability.
Diagnosis and management are typically undertaken by an optometrist or ophthalmologist.
Additional diagnoses covered by the SOP
- Accommodative insufficiency
- Accommodative infacility
Conditions not covered by the SOP
- Astigmatism * - Visual Refractive Error SOP
- Cataract *
- Hypermetropia * - Visual Refractive Error SOP
- Myopia * - Visual Refractive Error SOP
- Presbyopia - revoked SOP (cannot be related to service)
- Accommodative access #
- Reversible pharmacological paralysis of accommodation pharmacological agents (when such medications cannot be ceased or substituted)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the earliest time at which symptoms consistent with impaired accommodation were first present. Because symptoms are often non-specific, it may be difficult to determine onset prior to diagnosis. Where symptoms follow a specific event, such as an injury or medication use, onset may be dated to that event.
Clinical worsening
Clinical worsening may be indicated by a decline in accommodative function beyond that expected for age. Assessment typically requires optometrist or ophthalmologist evaluation, and management is usually conservative, most commonly with correctives lenses.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/accommodation-disorder-f048-h525/rulebase-accommodation-disorder/injury-or-disorder-affecting-function-oculomotor-nerve-or-ciliary-muscle