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ICD-10 Guide
ICD-10 CodesH02.053

H02.053

Billable

Trichiasis without entropion right eye, unspecified eyelid

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

Code Description

ICD-10 H02.053 is a billable code used to indicate a diagnosis of trichiasis without entropion right eye, unspecified eyelid.

Key Diagnostic Point:

Trichiasis without entropion in the right eye, unspecified eyelid, is characterized by the abnormal growth of eyelashes that rub against the cornea or conjunctiva, leading to irritation, discomfort, and potential vision impairment. The condition can arise from various factors, including chronic inflammation, trauma, or previous surgical interventions. The anatomy involved includes the eyelids, which serve as protective barriers for the eye, and the lacrimal system, which is responsible for tear production and drainage. In trichiasis, the misdirected eyelashes can disrupt the normal function of the lacrimal system, leading to excessive tearing or dry eye symptoms. Disease progression may vary; if left untreated, trichiasis can result in corneal abrasions, scarring, and even vision loss. Diagnostic considerations include a thorough ocular examination, patient history, and assessment of eyelid position and eyelash orientation. Treatment options may involve epilation of the misdirected lashes, cryotherapy, or surgical intervention to correct the eyelid position, depending on the severity and underlying causes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of eyelid conditions.
  • Documentation gaps may arise if the specific eyelid affected is not clearly noted.
  • Billing challenges can occur if treatment procedures are not adequately documented.

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

Dermatology

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

Trichiasis can significantly impact patient quality of life, leading to discomfort and potential vision loss if untreated. The condition is prevalent in certain populations, particularly among those with a history of ocular trauma or chronic inflammatory conditions. Understanding the epidemiology of trichiasis can aid in developing targeted interventions and improving healthcare utilization patterns, ultimately enhancing patient outcomes and quality measures in ophthalmic care.

ICD-9 vs ICD-10

Trichiasis can significantly impact patient quality of life, leading to discomfort and potential vision loss if untreated. The condition is prevalent in certain populations, particularly among those with a history of ocular trauma or chronic inflammatory conditions. Understanding the epidemiology of trichiasis can aid in developing targeted interventions and improving healthcare utilization patterns, ultimately enhancing patient outcomes and quality measures in ophthalmic care.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of procedures performed to address trichiasis, such as eyelash epilation or surgical correction. Common denials may arise from insufficient documentation of the condition or the procedures performed. It is essential to ensure that all treatment notes are clear and that the medical necessity is well-documented to avoid billing challenges.

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 H02.053?

H02.053 specifically covers trichiasis without entropion affecting the right eye and unspecified eyelid. It does not include cases where entropion is present or where the condition affects other eyelids.

When should H02.053 be used instead of related codes?

H02.053 should be used when the patient presents with trichiasis affecting the right eye without any associated entropion. It is crucial to differentiate it from codes that include entropion or affect other eyelids.

What documentation supports H02.053?

Documentation should include a detailed ocular examination report, noting the presence of trichiasis, the specific eyelid affected, and the absence of entropion. Photographic evidence may also support the diagnosis.