Spastic entropion of right lower eyelid
ICD-10 H02.042 is a billable code used to indicate a diagnosis of spastic entropion of right lower eyelid.
Spastic entropion of the right lower eyelid is characterized by an involuntary contraction of the eyelid muscles, leading to the inward turning of the eyelid margin. This condition can cause the eyelashes to rub against the cornea, resulting in irritation, redness, and potential damage to the ocular surface. The anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the surrounding periocular structures, including the conjunctiva and cornea. Disease progression may vary; if left untreated, spastic entropion can lead to chronic discomfort, corneal abrasions, and even vision impairment. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation of any associated symptoms such as tearing or foreign body sensation. Treatment options may involve botulinum toxin injections to relax the spastic muscle or surgical intervention to correct the eyelid position, depending on the severity and underlying causes of the condition.
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
H02.042 specifically covers spastic entropion of the right lower eyelid, which is characterized by involuntary muscle contractions leading to eyelid inversion. It is essential to differentiate this from other forms of entropion, such as involutional or cicatricial entropion.
H02.042 should be used when the condition specifically involves spastic entropion of the right lower eyelid. It is crucial to select this code over related codes when the clinical presentation confirms spasticity as the underlying cause.
Documentation should include a detailed ocular examination, noting the eyelid position, any associated symptoms, and treatment plans. Evidence of the spastic nature of the entropion, such as muscle contraction assessments, should also be included.
