Perforated corneal ulcer
ICD-10 H16.07 is a used to indicate a diagnosis of perforated corneal ulcer.
Perforated corneal ulcer is a serious ocular condition characterized by the formation of an ulcer in the cornea that has progressed to the point of perforation, leading to a breach in the corneal tissue. Clinically, patients may present with symptoms such as severe eye pain, redness, photophobia, and decreased vision. The anatomy involved primarily includes the cornea, which is the transparent front part of the eye, and may also affect adjacent structures like the conjunctiva and sclera. Disease progression can be rapid, often resulting from infections (bacterial, viral, or fungal), trauma, or underlying conditions such as dry eye syndrome or autoimmune disorders. Diagnostic considerations include a thorough eye examination, slit-lamp microscopy, and possibly cultures to identify the causative organism. Early diagnosis and intervention are crucial to prevent complications such as endophthalmitis or loss of 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
H16.07 specifically covers perforated corneal ulcers, which can arise from various etiologies including infectious agents, trauma, or underlying systemic diseases. It is critical to document the cause and extent of the ulceration.
H16.07 should be used when there is clear evidence of corneal perforation. If the ulcer is not perforated, codes such as H16.01 or H16.02 should be utilized instead. Documentation must support the diagnosis of perforation.
Documentation should include a detailed clinical examination, imaging studies if performed, treatment plans, and any laboratory results that confirm the diagnosis of a perforated corneal ulcer.
