Mechanical lagophthalmos unspecified eye, unspecified eyelid
ICD-10 H02.229 is a billable code used to indicate a diagnosis of mechanical lagophthalmos unspecified eye, unspecified eyelid.
Mechanical lagophthalmos is a condition characterized by the inability to completely close the eyelids, which can occur in one or both eyes. This condition can arise from various factors, including facial nerve paralysis, eyelid malformations, or mechanical restrictions due to scarring or tumors. The eyelids play a crucial role in protecting the eye, maintaining moisture, and facilitating tear distribution. When mechanical lagophthalmos occurs, it can lead to exposure keratitis, dry eye syndrome, and increased risk of corneal abrasions. The anatomy involved includes the eyelids, orbicularis oculi muscle, and the surrounding periocular structures. Disease progression can vary; if left untreated, patients may experience chronic discomfort, visual disturbances, and potential vision loss. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess underlying causes. Treatment options may involve surgical intervention, such as eyelid tightening procedures, or non-surgical methods like the use of moisture goggles or lubricating eye drops.
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
H02.229 covers mechanical lagophthalmos that is not specified as being due to a particular cause, such as facial nerve paralysis or congenital conditions. It is used when the exact etiology is unclear or unspecified.
H02.229 should be used when the lagophthalmos is mechanical and the specific cause is not documented. If the cause is known, such as facial nerve paralysis, a more specific code should be selected.
Documentation should include a detailed patient history, clinical findings, and any imaging studies that support the diagnosis of mechanical lagophthalmos. Treatment plans and follow-up notes are also essential.
