Spastic entropion of left upper eyelid
ICD-10 H02.044 is a billable code used to indicate a diagnosis of spastic entropion of left upper eyelid.
Spastic entropion of the left upper 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, 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 may vary; if left untreated, spastic entropion can lead to chronic irritation, corneal abrasions, and even vision impairment. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation of associated symptoms such as tearing or redness. It is essential to differentiate spastic entropion from other forms of entropion, such as involutional or cicatricial entropion, to ensure appropriate management.
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
H02.044 specifically covers spastic entropion of the left upper eyelid, which is characterized by involuntary muscle contractions leading to eyelid inversion. It is important to differentiate this from other types of entropion, such as involutional or cicatricial entropion, which may have different underlying causes and treatment approaches.
H02.044 should be used when the clinical presentation specifically indicates spastic entropion of the left upper eyelid. If the condition affects the right eyelid or is of a different type (e.g., involutional), the appropriate related code should be selected. Accurate documentation of the condition's specifics is crucial for correct code assignment.
Documentation for H02.044 should include a detailed clinical examination report, noting the eyelid's position, any associated symptoms (such as tearing or irritation), and the results of any diagnostic tests performed. Additionally, treatment plans and any surgical interventions should be clearly documented to support the diagnosis.
