Paralytic lagophthalmos right upper eyelid
ICD-10 H02.231 is a billable code used to indicate a diagnosis of paralytic lagophthalmos right upper eyelid.
Paralytic lagophthalmos of the right upper eyelid is characterized by the inability to fully close the eyelid due to paralysis of the facial nerve, often resulting from conditions such as Bell's palsy, stroke, or trauma. The clinical presentation includes exposure keratitis, dryness, and potential damage to the cornea due to inadequate eyelid closure. The anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the facial nerve (cranial nerve VII), which innervates this muscle. Disease progression can lead to chronic ocular surface problems if left untreated, necessitating timely intervention. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess underlying causes. Treatment may involve protective measures for the eye, such as lubricating eye drops, or surgical options like eyelid weights or tarsorrhaphy to improve eyelid closure and protect the cornea.
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
H02.231 specifically covers paralytic lagophthalmos due to facial nerve paralysis, which may arise from conditions like Bell's palsy, stroke, or trauma affecting the facial nerve.
H02.231 should be used when there is clear evidence of paralysis affecting eyelid closure, distinguishing it from other forms of lagophthalmos that may not be due to paralysis.
Documentation should include a detailed clinical examination, evidence of eyelid closure issues, patient history of facial nerve impairment, and any treatments attempted to manage the condition.
