Spastic entropion of right eye, unspecified eyelid
ICD-10 H02.043 is a billable code used to indicate a diagnosis of spastic entropion of right eye, unspecified eyelid.
Spastic entropion of the right eye, unspecified eyelid, is characterized by an involuntary spasm 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, discomfort, 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 can vary; if left untreated, spastic entropion may lead to chronic irritation, corneal abrasions, and even vision loss. Diagnostic considerations include a thorough ocular examination to assess eyelid position and function, as well as the evaluation of any underlying neurological conditions that may contribute to muscle spasms. Treatment options may include conservative measures such as lubricating eye drops, botulinum toxin injections to reduce muscle spasm, or surgical intervention to correct the eyelid position.
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
H02.043 specifically covers spastic entropion of the right eye, which is characterized by involuntary eyelid muscle spasms causing inward turning of the eyelid. It does not cover other forms of entropion or eyelid disorders such as involutional entropion or cicatricial entropion.
H02.043 should be used when the spastic entropion specifically affects the right eyelid. If the left eyelid is affected, H02.041 should be used, and if both eyelids are involved, H02.042 is appropriate. Accurate coding is essential for proper treatment and reimbursement.
Documentation should include a detailed clinical examination report, noting the presence of spastic entropion, any associated symptoms, and the treatment plan. Evidence of the impact on vision or quality of life may also support the medical necessity for treatment.
