Paralytic ectropion of unspecified eye, unspecified eyelid
ICD-10 H02.159 is a billable code used to indicate a diagnosis of paralytic ectropion of unspecified eye, unspecified eyelid.
Paralytic ectropion of the unspecified eye and unspecified eyelid is characterized by the outward turning of the eyelid margin, which can lead to exposure of the conjunctiva and cornea. This condition is often due to paralysis of the facial nerve (cranial nerve VII), which can result from various causes, including trauma, tumors, or neurological disorders. The eyelid anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure. When this muscle is paralyzed, the eyelid cannot maintain proper tension, leading to ectropion. Disease progression may result in discomfort, dryness, and potential corneal damage due to exposure. Diagnostic considerations include a thorough clinical examination, assessment of facial nerve function, and possibly imaging studies to identify underlying causes. Treatment may involve surgical intervention to correct the eyelid position, as well as addressing the underlying cause of the paralysis.
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
H02.159 covers paralytic ectropion due to facial nerve paralysis, which may arise from conditions such as Bell's palsy, stroke, or trauma affecting the facial nerve. It is important to differentiate this from other forms of ectropion, such as involutional or cicatricial ectropion.
H02.159 should be used when the specific eyelid affected is not documented, or when the condition is due to paralysis without specifying the eyelid involved. If the right or left eyelid is specified, use H02.151 or H02.152 respectively.
Documentation should include a detailed clinical examination, evidence of facial nerve dysfunction, and any imaging studies performed. Notes should clearly indicate the diagnosis of paralytic ectropion and the absence of other eyelid conditions.
