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ICD-10 Guide
ICD-10 CodesH02.056

H02.056

Billable

Trichiasis without entropion left eye, unspecified eyelid

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

Code Description

ICD-10 H02.056 is a billable code used to indicate a diagnosis of trichiasis without entropion left eye, unspecified eyelid.

Key Diagnostic Point:

Trichiasis without entropion in the left eye, unspecified eyelid, is characterized by the abnormal positioning of eyelashes that rub against the cornea and conjunctiva, leading to irritation, discomfort, and potential damage to the ocular surface. The eyelid anatomy involved includes the tarsal plate, which provides structure, and the meibomian glands that contribute to tear film stability. The condition may progress from mild irritation to more severe complications such as corneal abrasion, scarring, or even vision loss if left untreated. Diagnosis typically involves a thorough ocular examination, including slit-lamp evaluation to assess the degree of eyelash misdirection and any associated ocular surface damage. Clinicians must differentiate trichiasis from other eyelid disorders such as entropion, where the eyelid itself is inverted, and other conditions that may cause similar symptoms. Proper identification is crucial for determining the appropriate management and treatment plan.

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 misclassifying trichiasis as entropion.
  • Documentation gaps may arise if the specific eyelid affected is not clearly noted.
  • Billing challenges can occur if the treatment plan is not well-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

Optometry

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 due to discomfort and potential vision impairment. Understanding the prevalence of this condition within the population can aid in developing targeted interventions and preventive measures. Quality measures related to eyelid disorders may include timely diagnosis and treatment, which can reduce healthcare utilization patterns associated with complications from untreated trichiasis.

ICD-9 vs ICD-10

Trichiasis can significantly impact patient quality of life due to discomfort and potential vision impairment. Understanding the prevalence of this condition within the population can aid in developing targeted interventions and preventive measures. Quality measures related to eyelid disorders may include timely diagnosis and treatment, which can reduce healthcare utilization patterns associated with complications from untreated trichiasis.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but proper coding and documentation can help mitigate common denials. It is advisable to include any relevant treatment plans, such as surgical interventions or medications prescribed, to support the medical necessity of the services rendered. Coding best practices recommend using modifiers when applicable to indicate the specific nature of the procedure performed.

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 H02.056?

H02.056 specifically covers trichiasis without entropion affecting the left eye. It is important to note that this code does not include other eyelid disorders such as blepharitis or ectropion.

When should H02.056 be used instead of related codes?

H02.056 should be used when the patient presents with misdirected eyelashes causing irritation without any eyelid inversion. If entropion is present, H02.051 should be selected instead.

What documentation supports H02.056?

Documentation should include a detailed ocular examination report, noting the presence of trichiasis, the specific eyelid affected, and any associated symptoms or complications observed.