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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.211

H16.211

Billable

Exposure keratoconjunctivitis, right eye

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

Code Description

ICD-10 H16.211 is a billable code used to indicate a diagnosis of exposure keratoconjunctivitis, right eye.

Key Diagnostic Point:

Exposure keratoconjunctivitis, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Exposure keratoconjunctivitis can range from mild irritation to significant inflammation, requiring careful assessment and management. The condition may involve various etiologies, necessitating a thorough history and examination.

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

Optometry

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

Coding Guidelines

Inclusion Criteria

Use H16.211 When
  • Ensure accurate documentation of the patient's exposure history, symptoms, and clinical findings
  • Use H16
  • 211 specifically for exposure keratoconjunctivitis of the right eye
  • Consider additional codes for associated conditions if present

Exclusion Criteria

Do NOT use H16.211 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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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

Accurate coding impacts patient management and reimbursement. Misclassification can lead to inappropriate treatment plans and potential denial of claims.

ICD-9 vs ICD-10

Accurate coding impacts patient management and reimbursement. Misclassification can lead to inappropriate treatment plans and potential denial of claims.

Reimbursement & Billing Impact

reimbursement. Misclassification can lead to inappropriate treatment plans and potential denial of claims.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Keratoconjunctivitis
  • •
    National Eye Institute - Conjunctivitis (Pink Eye)

Coding & Billing References

  • •
    American Academy of Ophthalmology - Keratoconjunctivitis
  • •
    National Eye Institute - Conjunctivitis (Pink Eye)

Frequently Asked Questions

What are common symptoms of exposure keratoconjunctivitis?

Common symptoms include redness, itching, burning sensation, tearing, and discharge from the affected eye.

How is exposure keratoconjunctivitis treated?

Treatment may involve avoiding the irritant, using artificial tears, and in some cases, topical antihistamines or corticosteroids as prescribed by an eye care professional.