Paralytic ectropion of left upper eyelid
ICD-10 H02.154 is a billable code used to indicate a diagnosis of paralytic ectropion of left upper eyelid.
Paralytic ectropion of the left upper eyelid is characterized by the outward turning of the eyelid margin due to paralysis of the facial nerve, often resulting from conditions such as Bell's palsy, stroke, or trauma. The left upper eyelid's inability to maintain proper tension leads to exposure of the conjunctiva and cornea, increasing the risk of dryness, irritation, and potential corneal damage. Anatomically, the eyelid consists of skin, muscle (orbicularis oculi), and connective tissue, with the lacrimal system playing a crucial role in tear drainage and lubrication. Disease progression may lead to chronic irritation, infection, or even vision impairment if left untreated. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess underlying causes. Treatment options may involve surgical intervention to correct the eyelid position, along with supportive measures such as lubricating eye drops to protect the ocular surface.
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
H02.154 specifically covers paralytic ectropion of the left upper eyelid, which may arise from facial nerve dysfunction due to various etiologies such as Bell's palsy, stroke, or trauma.
H02.154 should be used when the condition specifically involves the left upper eyelid and is due to paralysis. It is important to differentiate it from other eyelid disorders like ectropion due to mechanical causes.
Documentation should include a detailed clinical examination, history of facial nerve function, any imaging studies performed, and treatment plans. Notes should clearly indicate the diagnosis of paralytic ectropion and its impact on the patient's ocular health.
