ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH02.3

H02.3

Non-billable

Blepharochalasis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H02.3 is a used to indicate a diagnosis of blepharochalasis.

Key Diagnostic Point:

Blepharochalasis is characterized by the recurrent swelling of the eyelids, leading to excess skin and laxity. This condition primarily affects the upper eyelids, resulting in a droopy appearance that can obstruct vision and impact cosmetic appearance. The anatomy involved includes the eyelids, which consist of skin, muscle (orbicularis oculi), and connective tissue, as well as the underlying orbital structures. Disease progression typically involves episodes of edema followed by skin laxity, which may worsen with age or repeated episodes. Diagnostic considerations include a thorough clinical examination to differentiate blepharochalasis from other eyelid disorders such as ptosis, dermatochalasis, and allergic reactions. Imaging studies are rarely needed unless associated orbital pathology is suspected. The condition can significantly affect a patient's quality of life, leading to functional impairment and psychological distress due to cosmetic concerns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other eyelid conditions
  • Treatment complexity: May involve surgical intervention for severe cases
  • Documentation requirements: Detailed clinical notes needed to support diagnosis
  • Coding specificity: Requires accurate coding to reflect the specific condition

Audit Risk Factors

  • Common coding errors: Misclassification with other eyelid conditions
  • Documentation gaps: Insufficient clinical details to support the diagnosis
  • Billing challenges: Potential denials if documentation does not clearly justify the need for treatment

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Plastic Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Blepharochalasis can significantly affect patients' quality of life, leading to functional limitations and psychological distress. The condition is relatively rare, but its impact on vision and aesthetics can lead to increased healthcare utilization, including surgical interventions. Understanding the epidemiology of blepharochalasis helps in identifying at-risk populations and improving management strategies, ultimately enhancing patient outcomes.

ICD-9 vs ICD-10

Blepharochalasis can significantly affect patients' quality of life, leading to functional limitations and psychological distress. The condition is relatively rare, but its impact on vision and aesthetics can lead to increased healthcare utilization, including surgical interventions. Understanding the epidemiology of blepharochalasis helps in identifying at-risk populations and improving management strategies, ultimately enhancing patient outcomes.

Reimbursement & Billing Impact

reimbursement. Providers should ensure that all clinical notes clearly justify the medical necessity for surgery, including the impact on vision and quality of life. Common denials may arise from insufficient documentation or failure to demonstrate the functional impairment caused by the condition. It is crucial to follow payer-specific guidelines and maintain thorough records to support claims.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H02.3?

H02.3 specifically covers blepharochalasis, which is characterized by recurrent eyelid swelling leading to excess skin. It is important to differentiate this from other eyelid conditions such as ptosis and dermatochalasis.

When should H02.3 be used instead of related codes?

H02.3 should be used when the clinical presentation includes recurrent eyelid swelling and resultant skin laxity, particularly when these symptoms are documented and differentiated from other eyelid disorders.

What documentation supports H02.3?

Documentation should include a detailed history of the patient's symptoms, clinical examination findings, and any previous treatments or interventions. Photographic evidence may also be beneficial in demonstrating the condition's impact.