Senile entropion of right upper eyelid
ICD-10 H02.031 is a billable code used to indicate a diagnosis of senile entropion of right upper eyelid.
Senile entropion of the right upper eyelid is a condition characterized by the inward turning of the eyelid margin, primarily affecting older adults. This condition can lead to irritation of the conjunctiva and cornea due to the eyelashes rubbing against the ocular surface. Clinically, patients may present with symptoms such as redness, tearing, and discomfort, which can progress to more severe complications like corneal abrasion or infection if left untreated. The anatomy involved includes the eyelid structures, particularly the orbicularis oculi muscle, tarsal plate, and the skin of the eyelid. The disease progression typically involves gradual weakening of the eyelid's supporting structures due to aging, leading to the characteristic inward folding. Diagnostic considerations include a thorough eye examination, assessment of eyelid position, and evaluation of associated symptoms. Treatment options may range from conservative measures, such as lubricating eye drops, to surgical intervention for more severe cases, aimed at correcting the eyelid position and preventing further ocular damage.
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
H02.031 specifically covers senile entropion of the right upper eyelid, which is characterized by the inward turning of the eyelid margin due to age-related changes. It is important to differentiate this from other forms of entropion, such as congenital or spastic entropion.
H02.031 should be used when the patient presents with senile entropion specifically affecting the right upper eyelid. If the left eyelid is affected, H02.032 should be used. Accurate coding is essential for proper treatment and reimbursement.
Documentation should include a comprehensive eye examination report, noting the presence of entropion, symptoms experienced by the patient, and any treatment provided. Photographic evidence may also support the diagnosis.
