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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.229

H16.229

Billable

Keratoconjunctivitis sicca, not specified as Sjögren's, unspecified eye

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H16.229 is a billable code used to indicate a diagnosis of keratoconjunctivitis sicca, not specified as sjögren's, unspecified eye.

Key Diagnostic Point:

Keratoconjunctivitis sicca, not specified as Sjögren's, unspecified eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Keratoconjunctivitis sicca presents moderate clinical complexity due to the potential for varied underlying causes, including environmental factors, medication side effects, and systemic conditions. Diagnosis may require comprehensive evaluation and management strategies.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Optometry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Coding Guidelines

Inclusion Criteria

Use H16.229 When
  • Ensure accurate documentation of symptoms, duration, and any associated conditions
  • Distinguish between dry eye disease and other forms of conjunctivitis
  • Use additional codes if associated with systemic conditions or complications

Exclusion Criteria

Do NOT use H16.229 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding of H16.229 is crucial for appropriate reimbursement and to reflect the patient's clinical status. Misclassification can lead to claim denials or underpayment.

ICD-9 vs ICD-10

Accurate coding of H16.229 is crucial for appropriate reimbursement and to reflect the patient's clinical status. Misclassification can lead to claim denials or underpayment.

Reimbursement & Billing Impact

reimbursement and to reflect the patient's clinical status. Misclassification can lead to claim denials or underpayment.

Resources

Clinical References

  • •
    Keratoconjunctivitis Sicca: A Review
  • •
    Dry Eye Disease: A Comprehensive Review
  • •
    American Academy of Ophthalmology - Dry Eye

Coding & Billing References

  • •
    Keratoconjunctivitis Sicca: A Review
  • •
    Dry Eye Disease: A Comprehensive Review
  • •
    American Academy of Ophthalmology - Dry Eye

Frequently Asked Questions

What are the common symptoms of keratoconjunctivitis sicca?

Common symptoms include dryness, irritation, redness, and a gritty sensation in the eyes.

How is keratoconjunctivitis sicca diagnosed?

Diagnosis typically involves a comprehensive eye examination, including patient history, symptom assessment, and tests such as tear break-up time or Schirmer's test.

What treatment options are available for keratoconjunctivitis sicca?

Treatment options may include artificial tears, anti-inflammatory medications, and lifestyle modifications to reduce environmental triggers.