ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH16.251

H16.251

Billable

Phlyctenular keratoconjunctivitis, right eye

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

Code Description

ICD-10 H16.251 is a billable code used to indicate a diagnosis of phlyctenular keratoconjunctivitis, right eye.

Key Diagnostic Point:

Phlyctenular keratoconjunctivitis, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Phlyctenular keratoconjunctivitis is a relatively uncommon condition that can present with symptoms such as redness, tearing, and photophobia. Diagnosis typically requires a thorough eye examination and may involve differential diagnosis from other conjunctival or corneal 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 H16.251 When
  • Ensure accurate documentation of the patient's symptoms, history, and examination findings
  • Use H16
  • 251 specifically for phlyctenular keratoconjunctivitis affecting the right eye
  • Document any associated conditions or treatments provided

Exclusion Criteria

Do NOT use H16.251 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 impacts clinical management and reimbursement. Misclassification may lead to inappropriate treatment plans and affect patient outcomes. Proper documentation supports the medical necessity of services rendered.

ICD-9 vs ICD-10

Accurate coding impacts clinical management and reimbursement. Misclassification may lead to inappropriate treatment plans and affect patient outcomes. Proper documentation supports the medical necessity of services rendered.

Reimbursement & Billing Impact

reimbursement. Misclassification may lead to inappropriate treatment plans and affect patient outcomes. Proper documentation supports the medical necessity of services rendered.

Resources

Clinical References

  • •
    Phlyctenular Keratoconjunctivitis Overview
  • •
    Clinical Management of Phlyctenular Keratoconjunctivitis

Coding & Billing References

  • •
    Phlyctenular Keratoconjunctivitis Overview
  • •
    Clinical Management of Phlyctenular Keratoconjunctivitis

Frequently Asked Questions

What are the common symptoms of phlyctenular keratoconjunctivitis?

Common symptoms include redness of the eye, tearing, sensitivity to light, and the presence of a small, raised lesion on the conjunctiva or cornea.

How is phlyctenular keratoconjunctivitis treated?

Treatment typically involves topical corticosteroids to reduce inflammation, along with addressing any underlying infections or irritants.