Marginal corneal ulcer
ICD-10 H16.04 is a used to indicate a diagnosis of marginal corneal ulcer.
Marginal corneal ulcer, classified under ICD-10 code H16.04, refers to a localized area of corneal epithelial loss that occurs at the margin of the cornea, often associated with underlying inflammatory processes. Clinically, patients may present with symptoms such as redness, pain, photophobia, and blurred vision. The anatomy involved includes the cornea, which is the transparent front part of the eye, and its marginal zone where it meets the sclera. Disease progression can vary; if left untreated, marginal corneal ulcers may lead to corneal scarring, perforation, or even vision loss. Diagnostic considerations include a thorough ocular examination, slit-lamp biomicroscopy, and possibly cultures to identify infectious agents. Differential diagnoses may include other types of corneal ulcers, such as central ulcers or those caused by herpes simplex virus. Prompt diagnosis and treatment are crucial to prevent complications and preserve vision.
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
H16.04 specifically covers marginal corneal ulcers, which may arise from various etiologies including bacterial infections, inflammatory diseases, or trauma. It is important to differentiate this from other corneal ulcers based on location and underlying cause.
H16.04 should be used when the clinical presentation specifically indicates a marginal corneal ulcer, as opposed to central or other types of corneal ulcers. Accurate diagnosis is essential for appropriate coding.
Documentation should include a detailed history of the patient's symptoms, results from a comprehensive eye examination, any diagnostic tests performed, and a clear treatment plan. This ensures that the diagnosis of a marginal corneal ulcer is well-supported.
