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ICD-10 Guide
ICD-10 CodesH16.249

H16.249

Billable

Ophthalmia nodosa, unspecified eye

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

Code Description

ICD-10 H16.249 is a billable code used to indicate a diagnosis of ophthalmia nodosa, unspecified eye.

Key Diagnostic Point:

Ophthalmia nodosa, unspecified eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Ophthalmia nodosa can present with a range of symptoms from mild irritation to severe inflammation, requiring careful assessment and management. Diagnosis may involve differential diagnosis from other ocular conditions.

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 H16.249 When
  • Ensure accurate documentation of symptoms and clinical findings
  • Use H16
  • 249 when the specific eye affected is not documented
  • Include any relevant history of exposure to irritants or allergens

Exclusion Criteria

Do NOT use H16.249 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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CPT Code

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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 clinical management and reimbursement. Misclassification may lead to inappropriate treatment plans and denial of claims.

ICD-9 vs ICD-10

Accurate coding impacts clinical management and reimbursement. Misclassification may lead to inappropriate treatment plans and denial of claims.

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    Ophthalmia Nodosa: A Review
  • •
    Clinical Guidelines for the Management of Eye Disorders
  • •
    Understanding Eye Conditions: A Patient's Guide

Coding & Billing References

  • •
    Ophthalmia Nodosa: A Review
  • •
    Clinical Guidelines for the Management of Eye Disorders
  • •
    Understanding Eye Conditions: A Patient's Guide

Frequently Asked Questions

What are the common symptoms of ophthalmia nodosa?

Symptoms may include redness, swelling, discharge, and discomfort in the affected eye, which can vary in severity.

How is ophthalmia nodosa treated?

Treatment typically involves addressing the underlying cause, which may include topical or systemic medications to reduce inflammation and manage symptoms.

When should I consider using H16.249?

Use H16.249 when a patient presents with symptoms of ophthalmia nodosa but the specific eye affected is not documented or specified.