ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH02.009

H02.009

Billable

Unspecified entropion of unspecified eye, unspecified eyelid

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

Code Description

ICD-10 H02.009 is a billable code used to indicate a diagnosis of unspecified entropion of unspecified eye, unspecified eyelid.

Key Diagnostic Point:

Entropion is a condition characterized by the inward turning of the eyelid, which can lead to irritation of the cornea and conjunctiva due to the eyelashes rubbing against the eye. The unspecified entropion of unspecified eye and eyelid (H02.009) indicates that the specific eye and eyelid affected are not documented. The eyelid anatomy includes the skin, muscle, and connective tissue that support the eyelid's structure and function. The condition can arise from various factors, including age-related changes, scarring, or congenital defects. As entropion progresses, patients may experience symptoms such as redness, tearing, and discomfort, which can lead to more severe complications like corneal abrasions or infections if left untreated. Diagnosis typically involves a comprehensive eye examination, including visual acuity tests and assessment of eyelid position and function. Treatment options may vary from conservative measures, such as lubricating eye drops, to surgical intervention to correct the eyelid position. Proper documentation of symptoms, duration, and any previous treatments is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as entropion can be confused with other eyelid disorders.
  • Treatment complexity: Moderate, with options ranging from conservative to surgical.
  • Documentation requirements: Requires detailed patient history and examination findings.
  • Coding specificity: Low specificity due to the unspecified nature of the code.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of entropion or failing to specify the affected eyelid.
  • Documentation gaps: Incomplete patient history or lack of detailed examination notes.
  • Billing challenges: Potential denials due to insufficient documentation supporting the diagnosis.

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

Plastic Surgery

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

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Entropion, while often a benign condition, can significantly impact a patient's quality of life due to discomfort and potential vision impairment. Understanding the epidemiology of entropion, particularly in aging populations, is crucial for healthcare providers. The condition may lead to increased healthcare utilization due to complications such as corneal abrasions or infections. Quality measures related to timely diagnosis and treatment of eyelid disorders can improve patient outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Entropion, while often a benign condition, can significantly impact a patient's quality of life due to discomfort and potential vision impairment. Understanding the epidemiology of entropion, particularly in aging populations, is crucial for healthcare providers. The condition may lead to increased healthcare utilization due to complications such as corneal abrasions or infections. Quality measures related to timely diagnosis and treatment of eyelid disorders can improve patient outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the documentation, so coders should ensure that the medical necessity for any procedures performed is well-documented. Common denials may occur if the documentation does not adequately support the diagnosis or if the code is not appropriately linked to the services provided. Adhering to coding best practices, including regular updates on coding guidelines and payer requirements, can help mitigate these challenges.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H02.009?

H02.009 covers unspecified entropion, which may include cases where the specific eyelid or eye affected is not documented. It is important to differentiate this from other eyelid disorders such as ectropion or blepharospasm.

When should H02.009 be used instead of related codes?

H02.009 should be used when the specific eye or eyelid affected is not documented. If the condition is specified, related codes like H02.001 or H02.002 should be used for more accurate coding.

What documentation supports H02.009?

Documentation should include a thorough patient history, details of the clinical examination, symptoms experienced, and any previous treatments attempted. This information is essential for justifying the diagnosis and ensuring appropriate reimbursement.