Symblepharon, unspecified eye
ICD-10 H11.239 is a billable code used to indicate a diagnosis of symblepharon, unspecified eye.
Symblepharon is a condition characterized by the adhesion of the eyelid to the eyeball, which can occur due to various causes including trauma, inflammation, or surgical complications. The clinical presentation may include restricted eye movement, discomfort, and visual disturbances, depending on the extent of the adhesion. The anatomy involved primarily includes the conjunctiva, sclera, and cornea, as the adhesion typically forms between the palpebral conjunctiva of the eyelid and the bulbar conjunctiva of the eye. Disease progression can lead to complications such as dry eye syndrome, corneal exposure, and potential vision loss if left untreated. Diagnostic considerations include a thorough ocular examination, patient history, and imaging studies if necessary to assess the extent of the symblepharon and any associated ocular surface disorders. Treatment options may vary from conservative management to surgical intervention, depending on the severity and impact on the patient's quality of life.
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
H11.239 covers cases of symblepharon where the specific eye involved is not documented. It may include congenital symblepharon, post-surgical adhesions, or those resulting from inflammatory conditions. Diagnostic criteria typically involve clinical examination findings of eyelid and conjunctival adhesion.
H11.239 should be used when the specific eye affected by symblepharon is not documented or when the condition is generalized without further specification. If the condition is localized to one eye, the specific codes H11.238 or H11.240 should be utilized.
Documentation should include a detailed ocular examination report, patient history indicating the onset and progression of symptoms, and any imaging studies that may support the diagnosis of symblepharon. Clear notes on the treatment plan and patient response are also essential.