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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.241

H16.241

Billable

Ophthalmia nodosa, right eye

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

Code Description

ICD-10 H16.241 is a billable code used to indicate a diagnosis of ophthalmia nodosa, right eye.

Key Diagnostic Point:

Ophthalmia nodosa, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Ophthalmia nodosa presents moderate clinical complexity due to potential complications such as corneal scarring and vision impairment. Diagnosis requires thorough examination and may involve additional testing.

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 H16.241 When
  • Ensure accurate documentation of the patient's history, symptoms, and examination findings
  • Use H16
  • 241 specifically for cases involving the right eye
  • Consider additional codes for associated conditions or complications

Exclusion Criteria

Do NOT use H16.241 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

Correct coding impacts reimbursement rates and ensures appropriate treatment plans. Misclassification may lead to claim denials or underpayment.

ICD-9 vs ICD-10

Correct coding impacts reimbursement rates and ensures appropriate treatment plans. Misclassification may lead to claim denials or underpayment.

Reimbursement & Billing Impact

reimbursement rates and ensures appropriate treatment plans. Misclassification may lead to claim denials or underpayment.

Resources

Clinical References

  • •
    Ophthalmia Nodosa: Overview and Management
  • •
    American Academy of Ophthalmology: Coding and Billing

Coding & Billing References

  • •
    Ophthalmia Nodosa: Overview and Management
  • •
    American Academy of Ophthalmology: Coding and Billing

Frequently Asked Questions

What is ophthalmia nodosa?

Ophthalmia nodosa is an inflammatory condition of the eye caused by exposure to certain parasites, often presenting with symptoms such as redness, swelling, and vision changes.

How is ophthalmia nodosa treated?

Treatment may include corticosteroids to reduce inflammation, antibiotics if an infection is present, and in some cases, surgical intervention may be necessary.

What are the common symptoms of ophthalmia nodosa?

Common symptoms include eye redness, pain, swelling, tearing, and blurred vision. Patients may also experience sensitivity to light.