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ICD-10 Guide
ICD-10 CodesH02.144

H02.144

Billable

Spastic ectropion of left upper eyelid

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

Code Description

ICD-10 H02.144 is a billable code used to indicate a diagnosis of spastic ectropion of left upper eyelid.

Key Diagnostic Point:

Spastic ectropion of the left upper eyelid is characterized by an outward turning of the eyelid margin due to involuntary muscle contractions. This condition can lead to exposure of the conjunctiva and cornea, resulting in irritation, dryness, and potential damage to the ocular surface. The anatomy involved includes the orbicularis oculi muscle, which controls eyelid closure, and the surrounding periocular structures, including the lacrimal system responsible for tear production and drainage. Disease progression may vary; if left untreated, spastic ectropion can lead to chronic discomfort, increased risk of infection, and visual impairment. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and evaluation of associated symptoms such as tearing or redness. Additional imaging may be warranted to rule out underlying structural abnormalities or neurological conditions contributing to the spasticity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a comprehensive assessment of eyelid function and potential underlying causes.
  • Treatment complexity: May involve medical management, surgical intervention, or referral to specialists.
  • Documentation requirements: Detailed clinical notes are essential to support diagnosis and treatment plans.
  • 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 ectropion types.
  • Documentation gaps: Insufficient detail in clinical notes regarding the nature and impact of the condition.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis and treatment.

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

Oculoplastic 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Spastic ectropion can significantly affect a patient's quality of life, leading to discomfort and potential visual impairment. Understanding the epidemiology of eyelid disorders, including spastic ectropion, is essential for healthcare providers to address population health needs effectively. Quality measures may include tracking treatment outcomes and patient satisfaction, while healthcare utilization patterns may reflect the need for surgical interventions or ongoing management of associated symptoms.

ICD-9 vs ICD-10

Spastic ectropion can significantly affect a patient's quality of life, leading to discomfort and potential visual impairment. Understanding the epidemiology of eyelid disorders, including spastic ectropion, is essential for healthcare providers to address population health needs effectively. Quality measures may include tracking treatment outcomes and patient satisfaction, while healthcare utilization patterns may reflect the need for surgical interventions or ongoing management of associated symptoms.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of the procedure and the patient's clinical history. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. It is crucial to ensure that all relevant clinical information is included in the billing submission to avoid delays or denials in 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 H02.144?

H02.144 specifically covers spastic ectropion of the left upper eyelid, which is characterized by involuntary muscle contractions leading to eyelid malposition. It may be associated with neurological disorders or local irritations.

When should H02.144 be used instead of related codes?

H02.144 should be used when the condition specifically involves the left upper eyelid and is characterized by spasticity. It is important to differentiate it from other forms of ectropion, such as those caused by mechanical factors or aging.

What documentation supports H02.144?

Documentation should include a detailed clinical examination, patient history, and any relevant imaging studies. Notes should clearly describe the nature of the ectropion, associated symptoms, and any treatments attempted.