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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.25

H16.25

Non-billable

Phlyctenular keratoconjunctivitis

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

Code Description

ICD-10 H16.25 is a used to indicate a diagnosis of phlyctenular keratoconjunctivitis.

Key Diagnostic Point:

Phlyctenular keratoconjunctivitis

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Phlyctenular keratoconjunctivitis is generally considered a moderate complexity condition, requiring thorough clinical evaluation and management, including potential referral to specialists.

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 H16.25 When
  • Ensure accurate documentation of symptoms, duration, and any associated conditions
  • Include details of the clinical examination findings and treatment plan
  • Use H16
  • 25 specifically for phlyctenular keratoconjunctivitis and avoid unspecified codes

Exclusion Criteria

Do NOT use H16.25 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 H16.25 is crucial for appropriate reimbursement and can affect patient management strategies. Misclassification may lead to denied claims or inappropriate treatment plans.

ICD-9 vs ICD-10

Accurate coding of H16.25 is crucial for appropriate reimbursement and can affect patient management strategies. Misclassification may lead to denied claims or inappropriate treatment plans.

Reimbursement & Billing Impact

reimbursement and can affect patient management strategies. Misclassification may lead to denied claims or inappropriate treatment plans.

Resources

Clinical References

  • •
    Phlyctenular Keratoconjunctivitis: A Review
  • •
    Clinical Management of Phlyctenular Keratoconjunctivitis

Coding & Billing References

  • •
    Phlyctenular Keratoconjunctivitis: A Review
  • •
    Clinical Management of Phlyctenular Keratoconjunctivitis

Frequently Asked Questions

What are the common symptoms of phlyctenular keratoconjunctivitis?

Common symptoms include redness, tearing, photophobia, and a foreign body sensation in the eye.

How is phlyctenular keratoconjunctivitis treated?

Treatment typically involves topical corticosteroids and antibiotic therapy, along with addressing any underlying causes such as tuberculosis.

Is phlyctenular keratoconjunctivitis contagious?

Phlyctenular keratoconjunctivitis itself is not contagious, but the underlying infections that may cause it can be.