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 CodesH02.112

H02.112

Billable

Cicatricial ectropion of right lower eyelid

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

Code Description

ICD-10 H02.112 is a billable code used to indicate a diagnosis of cicatricial ectropion of right lower eyelid.

Key Diagnostic Point:

Cicatricial ectropion of the right lower eyelid is characterized by the outward turning of the eyelid margin due to scarring or fibrosis. This condition often results from trauma, surgery, or inflammatory processes that lead to the shortening of the eyelid tissue. The lower eyelid anatomy includes the skin, muscle (orbicularis oculi), and conjunctiva, all of which can be affected by cicatricial changes. Clinically, patients may present with symptoms such as exposure keratitis, tearing, and cosmetic concerns. Disease progression can lead to chronic irritation and potential vision impairment if not addressed. Diagnostic considerations include a thorough history, physical examination, and possibly imaging studies to assess the extent of the ectropion and any underlying conditions. Treatment typically involves surgical intervention to correct the eyelid position and restore normal function, emphasizing the importance of accurate coding for proper reimbursement and patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a thorough understanding of eyelid anatomy and potential underlying causes.
  • Treatment complexity: Surgical intervention may be necessary, requiring coordination with ophthalmology.
  • Documentation requirements: Detailed clinical notes and surgical reports are essential for accurate coding.
  • Coding specificity: Requires precise coding to differentiate from other types of ectropion.

Audit Risk Factors

  • Common coding errors: Misidentifying the side of ectropion or confusing cicatricial with other types.
  • Documentation gaps: Incomplete records regarding the cause or treatment of ectropion.
  • Billing challenges: Potential denials if the medical necessity for surgery 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

Plastic Surgery

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cicatricial ectropion can significantly affect a patient's quality of life, leading to discomfort, cosmetic concerns, and potential vision impairment. Understanding the epidemiology of this condition is essential for healthcare providers, as it may be more prevalent in populations with higher rates of trauma or surgical interventions. Quality measures related to eyelid disorders can help track treatment outcomes and improve healthcare utilization patterns.

ICD-9 vs ICD-10

Cicatricial ectropion can significantly affect a patient's quality of life, leading to discomfort, cosmetic concerns, and potential vision impairment. Understanding the epidemiology of this condition is essential for healthcare providers, as it may be more prevalent in populations with higher rates of trauma or surgical interventions. Quality measures related to eyelid disorders can help track treatment outcomes and improve healthcare utilization patterns.

Reimbursement & Billing Impact

impact on the patient's quality of life or vision. It is crucial to follow coding best practices, including using the most specific code available and ensuring that the procedure codes align with the diagnosis for optimal reimbursement.

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 H02.112?

H02.112 specifically covers cicatricial ectropion of the right lower eyelid, which is caused by scarring that leads to the eyelid turning outward. This can result from various factors including trauma, surgery, or chronic inflammation.

When should H02.112 be used instead of related codes?

H02.112 should be used when the ectropion is specifically cicatricial and located on the right lower eyelid. It is important to differentiate it from other types of ectropion, such as involutional or paralytic ectropion, which have different underlying causes.

What documentation supports H02.112?

Documentation should include a detailed patient history, physical examination findings, and any imaging studies that support the diagnosis of cicatricial ectropion. Surgical notes detailing the procedure performed and the rationale for surgery are also critical.