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ICD-10 Guide
ICD-10 CodesH02.033

H02.033

Billable

Senile entropion of right eye, unspecified eyelid

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

Code Description

ICD-10 H02.033 is a billable code used to indicate a diagnosis of senile entropion of right eye, unspecified eyelid.

Key Diagnostic Point:

Senile entropion of the right eye, unspecified eyelid, is characterized by the inward turning of the eyelid margin, which can lead to irritation of the conjunctiva and cornea due to the eyelashes rubbing against the ocular surface. This condition is commonly seen in elderly patients as a result of age-related changes in the eyelid's structural integrity, including laxity of the eyelid skin and weakening of the supporting tissues. The anatomy involved includes the eyelid, which consists of skin, muscle, and connective tissue, as well as the lacrimal system that may be affected due to altered tear distribution. Disease progression can lead to chronic discomfort, tearing, and potential vision impairment if left untreated. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation of associated symptoms such as redness, tearing, or foreign body sensation. Treatment options may range from conservative management, such as lubricating eye drops, to surgical intervention for correction of the eyelid position.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the eye affected or confusing entropion with ectropion.
  • Documentation gaps may arise if the clinical rationale for the diagnosis is not clearly outlined.
  • Billing challenges can occur if the treatment plan is not adequately documented or if there is a lack of supporting evidence for surgical interventions.

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

Geriatrics

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

Senile entropion significantly impacts the quality of life for affected individuals, particularly the elderly population, leading to discomfort and potential vision loss. Understanding the epidemiology of this condition helps in identifying at-risk populations and implementing preventive measures. Quality measures may include tracking surgical outcomes and patient satisfaction post-treatment, which can influence healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

Senile entropion significantly impacts the quality of life for affected individuals, particularly the elderly population, leading to discomfort and potential vision loss. Understanding the epidemiology of this condition helps in identifying at-risk populations and implementing preventive measures. Quality measures may include tracking surgical outcomes and patient satisfaction post-treatment, which can influence healthcare utilization patterns and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of surgical intervention if conservative measures fail. Common denials may arise from insufficient documentation of the condition's impact on the patient's daily life or lack of prior conservative treatment attempts. Coding best practices recommend using specific codes that accurately reflect the condition and ensuring that all documentation supports the medical necessity of the procedures performed.

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 H02.033?

H02.033 specifically covers senile entropion of the right eye, which is characterized by the inward turning of the eyelid margin. This condition can lead to complications such as corneal abrasion and chronic irritation.

When should H02.033 be used instead of related codes?

H02.033 should be used when the diagnosis specifically pertains to senile entropion of the right eye. It is important to differentiate it from other eyelid disorders such as ectropion or entropion of the left eye.

What documentation supports H02.033?

Documentation should include a detailed ocular examination, description of symptoms, and any relevant imaging or diagnostic tests that support the diagnosis of senile entropion of the right eye.