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 CodesH02.055

H02.055

Billable

Trichiasis without entropion left lower eyelid

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

Code Description

ICD-10 H02.055 is a billable code used to indicate a diagnosis of trichiasis without entropion left lower eyelid.

Key Diagnostic Point:

Trichiasis is a condition characterized by the misdirection of eyelashes, leading to them rubbing against the cornea and conjunctiva, which can cause discomfort, irritation, and potential damage to the ocular surface. In the case of H02.055, this condition specifically affects the left lower eyelid. The anatomy involved includes the eyelid structures, such as the eyelid margin where the eyelashes are located, and the surrounding periocular tissues. The lacrimal system may also be indirectly affected due to the irritation caused by the misdirected lashes, potentially leading to excessive tearing or dry eye symptoms. Disease progression can vary; if left untreated, trichiasis may lead to chronic irritation, corneal abrasions, or even vision loss. Diagnosis typically involves a comprehensive eye examination, where the clinician assesses the position of the eyelashes and evaluates any associated ocular surface damage. Treatment options may include epilation (removal of the misdirected lashes), cryotherapy, or surgical intervention, depending on the severity and recurrence of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a thorough eye examination and assessment of eyelid anatomy.
  • Treatment complexity: May involve multiple treatment modalities, including surgical options.
  • Documentation requirements: Detailed documentation of clinical findings and treatment plans is necessary.
  • Coding specificity: Specific to trichiasis without entropion, requiring precise coding.

Audit Risk Factors

  • Common coding errors: Misidentification of trichiasis with or without entropion.
  • Documentation gaps: Incomplete records regarding the extent of eyelid involvement.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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 a patient's quality of life due to discomfort and potential vision impairment. Understanding the epidemiology of trichiasis is crucial, as it can be associated with various underlying conditions, including trauma or chronic inflammatory diseases. Effective management of trichiasis can reduce healthcare utilization by preventing complications such as corneal abrasions and subsequent infections, thus improving overall population health outcomes.

ICD-9 vs ICD-10

Trichiasis can significantly impact a patient's quality of life due to discomfort and potential vision impairment. Understanding the epidemiology of trichiasis is crucial, as it can be associated with various underlying conditions, including trauma or chronic inflammatory diseases. Effective management of trichiasis can reduce healthcare utilization by preventing complications such as corneal abrasions and subsequent infections, thus improving overall population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the procedure performed aligns with the diagnosis. Common denials may arise from insufficient documentation or misclassification of the condition. Coders should ensure that all relevant clinical details are captured, including the specific eyelid affected and any associated symptoms. Best practices include using modifiers when necessary and ensuring that the coding aligns with the services rendered.

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 H02.055?

H02.055 specifically covers trichiasis of the left lower eyelid without associated entropion. It is important to differentiate this from other eyelid disorders such as entropion or ectropion, which involve different eyelid malpositions.

When should H02.055 be used instead of related codes?

H02.055 should be used when the patient presents with misdirected eyelashes on the left lower eyelid without any accompanying entropion. If entropion is present, H02.051 should be selected instead.

What documentation supports H02.055?

Documentation should include a detailed eye examination report, noting the presence of trichiasis, the specific eyelid affected, and any symptoms experienced by the patient. Photographic evidence may also be beneficial.