Cicatricial lagophthalmos right eye, unspecified eyelid
ICD-10 H02.213 is a billable code used to indicate a diagnosis of cicatricial lagophthalmos right eye, unspecified eyelid.
Cicatricial lagophthalmos of the right eye, specifically affecting the unspecified eyelid, is characterized by an inability to completely close the eyelid due to scarring or contraction of the eyelid tissue. This condition can arise from various etiologies, including trauma, surgical interventions, or inflammatory processes that lead to scarring. The anatomy involved includes the eyelids, which consist of skin, muscle, and connective tissue, as well as the surrounding periocular structures. The lacrimal system may also be affected, as incomplete eyelid closure can disrupt normal tear distribution and drainage, leading to dry eye symptoms or exposure keratitis. Disease progression may result in chronic irritation, corneal damage, and potential vision impairment if left untreated. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess the extent of scarring and any associated conditions. Treatment may involve surgical intervention to repair the eyelid, along with supportive measures to protect the cornea and manage symptoms.
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
H02.213 covers cicatricial lagophthalmos specifically affecting the right eyelid. This includes conditions resulting from trauma, surgical scars, or inflammatory diseases that lead to eyelid retraction or scarring.
H02.213 should be used when the condition is specifically cicatricial lagophthalmos of the right eyelid. It should be selected over related codes when the clinical documentation confirms the unilateral nature and cicatricial cause of the lagophthalmos.
Documentation should include a detailed clinical examination noting eyelid closure ability, history of trauma or surgery, and any associated ocular symptoms. Photographic evidence may also support the diagnosis.
