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v1.0.0
ICD-10 Guide
DiagnosesRight Eye Pain

Right Eye Pain

ICD-10 Coding for Right Eye Pain(H57.11)

PRIMARY SPECIALTYOphthalmology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Eye Pain?
Essential facts and insights about Right Eye Pain

Key Clinical Considerations:

  • Unilateral eye pain, redness, tearing, photophobia, visual disturbances
  • Slit-lamp examination, intraocular pressure measurement, fundoscopic exam
  • Conjunctival injection, corneal abrasion, foreign body sensation, pupillary reaction

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history, symptom duration, visual acuity results, examination findings
  • ICD-10-CM terminology for eye pain, specific descriptors for acuity and symptoms
  • Example: 'Patient presents with right eye pain, photophobia, and redness. Visual acuity 20/30.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on the underlying cause of eye pain.
  • Common errors: Misclassifying eye pain as a general symptom without specifying the cause.

Code Exclusions

Important Exclusions

  • Trauma-related eye injuries, systemic conditions causing referred pain
  • Alternative codes for left eye pain or bilateral conditions

Related ICD-10 Codes

Primary Codes
H57.13
Pain in right eye
H20.9
Unspecified conjunctivitis
H16.001
Unspecified keratitis, right eye
Ancillary Codes
G89.11
H57.11
if trauma is documented as the cause of pain.
Differential Codes
H16.221
H40.01X0

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Ophthalmology

Specialty Applications

  • Adult and pediatric populations, patients with acute or chronic eye conditions
  • Ophthalmology clinics, emergency departments, primary care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed history, symptoms, and examination findings.

Billing considerations?

Ensure accurate coding to reflect the specific diagnosis and any associated procedures.