Paralytic ectropion of right upper eyelid
ICD-10 H02.151 is a billable code used to indicate a diagnosis of paralytic ectropion of right upper eyelid.
Paralytic ectropion of the right upper eyelid is characterized by the outward turning of the eyelid margin due to paralysis of the facial nerve, which innervates the muscles responsible for eyelid closure. This condition can lead to exposure of the conjunctiva and cornea, resulting in dryness, irritation, and potential damage to the ocular surface. The anatomy involved includes the orbicularis oculi muscle, which is crucial for eyelid function, and the surrounding periocular structures, including the lacrimal gland and ducts that are essential for tear production and drainage. Disease progression may vary; if left untreated, ectropion can lead to chronic keratitis or corneal ulceration. Diagnostic considerations include a thorough clinical examination, assessment of eyelid position, and evaluation of facial nerve function. Imaging studies may be warranted in cases where underlying structural abnormalities are suspected. Treatment options often involve surgical intervention to correct the eyelid position and restore normal function, alongside addressing any underlying neurological causes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H02.151 specifically covers paralytic ectropion of the right upper eyelid, which is caused by facial nerve paralysis. It does not include other forms of ectropion, such as involutional or cicatricial ectropion, which have different underlying causes and treatment approaches.
H02.151 should be used when the ectropion is specifically due to paralysis of the facial nerve affecting the right upper eyelid. If the ectropion is due to other causes, such as aging or scarring, other codes should be selected, such as H02.159 for unspecified ectropion.
Documentation should include a detailed history of the patient's symptoms, a neurological examination confirming facial nerve involvement, and any imaging studies if performed. Treatment plans and outcomes should also be documented to support the medical necessity of interventions.
