ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH02.045

H02.045

Billable

Spastic entropion of left lower eyelid

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

Code Description

ICD-10 H02.045 is a billable code used to indicate a diagnosis of spastic entropion of left lower eyelid.

Key Diagnostic Point:

Spastic entropion of the left lower eyelid is a condition characterized by the inward turning of the eyelid margin, leading to irritation of the conjunctiva and cornea. This condition often results from muscle spasms or neurological disorders affecting the orbicularis oculi muscle, which controls eyelid movement. The left lower eyelid's anatomy includes skin, muscle, and connective tissue, all of which can be affected by spastic entropion. Clinically, patients may present with symptoms such as redness, tearing, and discomfort, often exacerbated by blinking or exposure to wind. Disease progression can lead to chronic irritation, corneal abrasions, and potential vision impairment if left untreated. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation for underlying neurological conditions. Treatment may involve botulinum toxin injections to alleviate muscle spasms, surgical correction, or other interventions aimed at restoring normal eyelid function and protecting the ocular surface.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive ocular examination and possible neurological assessment.
  • Treatment complexity: May involve non-invasive and surgical options, necessitating multidisciplinary approaches.
  • Documentation requirements: Detailed clinical notes and evidence of symptoms are essential for accurate coding.
  • Coding specificity: Requires precise coding to differentiate from other eyelid disorders.

Audit Risk Factors

  • Common coding errors: Misidentification of eyelid laterality or confusion with other eyelid disorders.
  • Documentation gaps: Insufficient clinical details regarding the nature and duration of symptoms.
  • Billing challenges: Potential denials due to lack of clear linkage between diagnosis and treatment provided.

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

Neurology

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Spastic entropion can significantly affect a patient's quality of life, leading to discomfort and potential vision issues. Understanding its prevalence and impact on population health is crucial for healthcare providers. Quality measures may include monitoring treatment outcomes and patient satisfaction. Increased healthcare utilization patterns may arise from complications associated with untreated entropion, emphasizing the need for timely diagnosis and intervention. Epidemiologically, awareness of this condition can lead to better management strategies and improved patient outcomes.

ICD-9 vs ICD-10

Spastic entropion can significantly affect a patient's quality of life, leading to discomfort and potential vision issues. Understanding its prevalence and impact on population health is crucial for healthcare providers. Quality measures may include monitoring treatment outcomes and patient satisfaction. Increased healthcare utilization patterns may arise from complications associated with untreated entropion, emphasizing the need for timely diagnosis and intervention. Epidemiologically, awareness of this condition can lead to better management strategies and improved patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the procedure codes align with the diagnosis code H02.045. Common denials may arise from insufficient documentation linking the diagnosis to the treatment provided. It is essential to maintain detailed records of patient symptoms, treatment rationale, and any follow-up care to support claims. Coding best practices involve using the most specific codes available and ensuring that all documentation is complete and accurate to minimize audit risks.

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 H02.045?

H02.045 specifically covers spastic entropion of the left lower eyelid, which may be associated with neurological disorders, muscle spasms, or other ocular conditions that lead to eyelid malposition.

When should H02.045 be used instead of related codes?

H02.045 should be used when the diagnosis specifically involves spastic entropion of the left lower eyelid, differentiating it from other forms of entropion or eyelid malposition that may not involve spasticity.

What documentation supports H02.045?

Documentation should include a detailed clinical assessment of the eyelid position, symptoms experienced by the patient, any neurological evaluations performed, and treatment plans that have been considered or implemented.