Paralytic lagophthalmos left lower eyelid
ICD-10 H02.235 is a billable code used to indicate a diagnosis of paralytic lagophthalmos left lower eyelid.
Paralytic lagophthalmos of the left lower eyelid is characterized by the inability to completely close the eyelid due to paralysis of the facial nerve, often resulting from conditions such as Bell's palsy, stroke, or trauma. The left lower eyelid's inability to close can lead to exposure keratitis, dry eye syndrome, and potential corneal damage. The eyelid anatomy includes the orbicularis oculi muscle, which is responsible for eyelid closure, and its dysfunction can significantly impact ocular health. Disease progression may involve initial symptoms of facial weakness, followed by complications such as irritation, inflammation, and infection of the ocular surface. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess the underlying cause of the paralysis. Treatment may involve protective measures for the eye, such as lubricating eye drops or surgical interventions to improve eyelid closure. Understanding the periocular anatomy and the lacrimal system is crucial for managing the complications associated with lagophthalmos effectively.
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
H02.235 covers conditions leading to paralysis of the left lower eyelid, primarily due to facial nerve dysfunction. This includes Bell's palsy, traumatic nerve injury, and post-surgical complications affecting eyelid function.
H02.235 should be used specifically when the left lower eyelid is affected by paralytic lagophthalmos. It is essential to differentiate it from right-sided paralysis (H02.234) and other eyelid disorders that do not involve paralysis.
Documentation should include a detailed patient history, clinical examination findings, and any imaging or diagnostic tests performed. Evidence of the underlying cause of paralysis and treatment plans should also be clearly documented.
