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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.213

H16.213

Billable

Exposure keratoconjunctivitis, bilateral

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

Code Description

ICD-10 H16.213 is a billable code used to indicate a diagnosis of exposure keratoconjunctivitis, bilateral.

Key Diagnostic Point:

Exposure keratoconjunctivitis, bilateral

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Exposure keratoconjunctivitis, bilateral, is typically of moderate clinical complexity. It may require thorough evaluation to differentiate from other forms of conjunctivitis and to determine appropriate management strategies, including avoidance of irritants and potential pharmacological interventions.

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 H16.213 When
  • When coding for exposure keratoconjunctivitis, ensure to document the bilateral nature of the condition
  • Include details regarding the exposure source, symptoms, and any treatments provided
  • Follow the guidelines for coding conjunctivitis and ensure accurate documentation to support the diagnosis

Exclusion Criteria

Do NOT use H16.213 When
No specific exclusions found.

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

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 of H16.213 is crucial for proper reimbursement and to reflect the severity of the condition. Misclassification may lead to claim denials or underpayment. Additionally, it impacts patient management and treatment planning.

ICD-9 vs ICD-10

Accurate coding of H16.213 is crucial for proper reimbursement and to reflect the severity of the condition. Misclassification may lead to claim denials or underpayment. Additionally, it impacts patient management and treatment planning.

Reimbursement & Billing Impact

reimbursement and to reflect the severity of the condition. Misclassification may lead to claim denials or underpayment. Additionally, it impacts patient management and treatment planning.

Resources

Clinical References

  • •
    American Academy of Ophthalmology: Keratoconjunctivitis
  • •
    National Eye Institute: Conjunctivitis
  • •
    American Optometric Association: Allergic Conjunctivitis

Coding & Billing References

  • •
    American Academy of Ophthalmology: Keratoconjunctivitis
  • •
    National Eye Institute: Conjunctivitis
  • •
    American Optometric Association: Allergic Conjunctivitis

Frequently Asked Questions

What are the common symptoms of exposure keratoconjunctivitis?

Common symptoms include redness, itching, tearing, and discharge from the eyes. Patients may also experience a gritty sensation or discomfort.

How is exposure keratoconjunctivitis treated?

Treatment typically involves avoiding the irritant, using artificial tears, and in some cases, topical antihistamines or corticosteroids may be prescribed.

Is exposure keratoconjunctivitis contagious?

No, exposure keratoconjunctivitis is not contagious as it is caused by irritants rather than infectious agents.