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ICD-10 Guide
ICD-10 CodesH11.141

H11.141

Billable

Conjunctival xerosis, unspecified, right eye

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

Code Description

ICD-10 H11.141 is a billable code used to indicate a diagnosis of conjunctival xerosis, unspecified, right eye.

Key Diagnostic Point:

Conjunctival xerosis, or dry conjunctiva, is characterized by dryness and irritation of the conjunctival membrane, which covers the white part of the eyeball and lines the inside of the eyelids. This condition can result from various factors, including environmental conditions, systemic diseases, or medication side effects. Clinically, patients may present with symptoms such as redness, a gritty sensation, burning, and excessive tearing, which paradoxically occurs as a response to dryness. The anatomy involved includes the conjunctiva, which is crucial for lubrication and protection of the eye, and its dysfunction can lead to complications such as corneal abrasions or infections. Disease progression may vary; if left untreated, conjunctival xerosis can lead to more severe ocular surface disorders. Diagnostic considerations include a thorough patient history, examination of tear production, and assessment of the ocular surface. The use of diagnostic tests such as the Schirmer test or tear break-up time may be warranted to evaluate the severity of the condition and guide treatment options.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of ocular surface health and potential systemic associations.
  • Treatment complexity: Management may involve artificial tears, environmental modifications, or addressing underlying causes.
  • Documentation requirements: Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential.
  • Coding specificity: Requires precise coding to differentiate from other conjunctival disorders.

Audit Risk Factors

  • Common coding errors: Misidentification of the eye affected or confusion with similar codes.
  • Documentation gaps: Incomplete records regarding patient symptoms or treatment plans.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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

Primary care

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Conjunctival xerosis can significantly impact a patient's quality of life, leading to discomfort and visual disturbances. It is essential to recognize this condition as it may indicate underlying systemic issues, such as autoimmune diseases. The prevalence of dry eye syndromes is increasing, particularly in aging populations, highlighting the need for effective management strategies. Understanding the epidemiology of conjunctival xerosis can help healthcare providers implement preventive measures and improve patient outcomes.

ICD-9 vs ICD-10

Conjunctival xerosis can significantly impact a patient's quality of life, leading to discomfort and visual disturbances. It is essential to recognize this condition as it may indicate underlying systemic issues, such as autoimmune diseases. The prevalence of dry eye syndromes is increasing, particularly in aging populations, highlighting the need for effective management strategies. Understanding the epidemiology of conjunctival xerosis can help healthcare providers implement preventive measures and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for ophthalmological services and ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough records of patient interactions, treatment plans, and follow-up care to support claims and reduce the risk of audits.

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 H11.141?

H11.141 specifically covers conjunctival xerosis without further specification. It may be associated with conditions such as Sjögren's syndrome, vitamin A deficiency, or exposure to irritants. Diagnosis is based on clinical findings and may require further investigation to rule out underlying systemic issues.

When should H11.141 be used instead of related codes?

H11.141 should be used when the condition is specifically identified as conjunctival xerosis of the right eye without further specification. If the left eye is affected, or if there are additional details about the condition, other codes such as H11.142 or more specific codes should be considered.

What documentation supports H11.141?

Documentation should include a detailed patient history, symptoms reported, results from any diagnostic tests (e.g., Schirmer test), and treatment plans. It is important to note any environmental factors or medications that may contribute to the condition.