Paralytic lagophthalmos right lower eyelid
ICD-10 H02.232 is a billable code used to indicate a diagnosis of paralytic lagophthalmos right lower eyelid.
Paralytic lagophthalmos of the right lower 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 corneal abrasions, as the protective barrier of the eyelid is compromised. The anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the surrounding periocular structures that maintain ocular health. Disease progression can lead to chronic irritation, inflammation, and vision impairment if not addressed. Diagnostic considerations include a thorough history and physical examination, assessment of eyelid function, and possibly imaging studies to evaluate underlying causes. Treatment may involve lubricating eye drops, eyelid weights, or surgical interventions to restore eyelid function 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
H02.232 covers conditions leading to paralysis of the right lower eyelid, primarily due to facial nerve dysfunction, such as Bell's palsy, stroke, or trauma affecting the facial nerve.
H02.232 should be used when the paralysis specifically affects the right lower eyelid, distinguishing it from left-sided or bilateral conditions, and when the underlying cause is identified.
Documentation should include a detailed clinical history, neurological examination findings, treatment plans, and any imaging studies that support the diagnosis of paralytic lagophthalmos.
