Spastic entropion of right upper eyelid
ICD-10 H02.041 is a billable code used to indicate a diagnosis of spastic entropion of right upper eyelid.
Spastic entropion of the right upper eyelid is characterized by an involuntary contraction of the eyelid muscles, leading to the inward turning of the eyelid margin. This condition can result in the eyelashes rubbing against the cornea, causing irritation, redness, and potential damage to the ocular surface. The anatomy involved includes the orbicularis oculi muscle, which controls eyelid movement, and the surrounding periocular structures, including the conjunctiva and cornea. Disease progression may lead to chronic discomfort, corneal abrasions, and even vision impairment if left untreated. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation of any associated symptoms such as tearing or photophobia. Treatment options may involve surgical intervention to correct the eyelid position, botulinum toxin injections to relax the muscle, or conservative measures such as lubricating eye drops to alleviate symptoms.
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
H02.041 specifically covers spastic entropion of the right upper eyelid, which is characterized by involuntary muscle contractions causing the eyelid to turn inward. This can lead to ocular surface irritation and requires careful evaluation to rule out other eyelid disorders.
H02.041 should be used when the diagnosis specifically indicates spastic entropion of the right upper eyelid. It is important to differentiate this from other types of entropion, such as involutional or cicatricial entropion, which have different coding.
Documentation should include a detailed history of the patient's symptoms, a comprehensive eye examination noting the eyelid position, and any treatments attempted. Photographic evidence may also support the diagnosis and treatment plan.
