Unspecified entropion of left upper eyelid
ICD-10 H02.004 is a billable code used to indicate a diagnosis of unspecified entropion of left upper eyelid.
Unspecified entropion of the left upper eyelid is a condition characterized by the inward turning of the eyelid margin, which can lead to irritation of the conjunctiva and cornea due to direct contact with the eyelashes. The left upper eyelid is anatomically significant as it plays a crucial role in protecting the eye and maintaining tear film stability. The condition may present with symptoms such as redness, tearing, and discomfort, and can be associated with age-related changes, scarring, or congenital factors. Disease progression may lead to chronic irritation, corneal abrasion, or even vision impairment if left untreated. Diagnosis typically involves a thorough ocular examination, including assessment of eyelid position, eyelash orientation, and evaluation of the ocular surface. Additional diagnostic considerations may include imaging studies if underlying orbital or lacrimal system involvement is suspected. Treatment options range from conservative management, such as lubricating eye drops, to surgical intervention to correct the eyelid position, depending on the severity and underlying cause of the entropion.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H02.004 covers unspecified entropion of the left upper eyelid, which may include cases due to aging, scarring, or congenital factors. It does not specify the underlying cause, allowing for broader application in clinical settings.
H02.004 should be used when the entropion of the left upper eyelid is diagnosed but the specific etiology is not identified. If the cause is known, more specific codes should be utilized.
Documentation should include a detailed ocular examination, patient history, symptoms reported, and any treatments attempted. Clear notes on the diagnosis and rationale for the chosen treatment plan are essential.
