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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.26

H16.26

Non-billable

Vernal keratoconjunctivitis, with limbar and corneal involvement

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

Code Description

ICD-10 H16.26 is a used to indicate a diagnosis of vernal keratoconjunctivitis, with limbar and corneal involvement.

Key Diagnostic Point:

Vernal keratoconjunctivitis, with limbar and corneal involvement

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Moderate complexity due to the need for comprehensive eye examinations and potential management of associated allergic symptoms.

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 H16.26 When
  • Ensure accurate documentation of symptoms, duration, and any prior treatments
  • Include details on corneal and limbar involvement to support the diagnosis

Exclusion Criteria

Do NOT use H16.26 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Correct coding can affect reimbursement rates and ensure appropriate treatment plans. Misclassification may lead to denied claims or inadequate patient management.

ICD-9 vs ICD-10

Correct coding can affect reimbursement rates and ensure appropriate treatment plans. Misclassification may lead to denied claims or inadequate patient management.

Reimbursement & Billing Impact

reimbursement rates and ensure appropriate treatment plans. Misclassification may lead to denied claims or inadequate patient management.

Resources

Clinical References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Management of Vernal Keratoconjunctivitis
  • •
    Clinical Practice Guidelines for Allergic Conjunctivitis

Coding & Billing References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Management of Vernal Keratoconjunctivitis
  • •
    Clinical Practice Guidelines for Allergic Conjunctivitis

Frequently Asked Questions

What are the common symptoms of vernal keratoconjunctivitis?

Common symptoms include itching, redness, tearing, and photophobia, particularly during allergy seasons.

How is vernal keratoconjunctivitis treated?

Treatment may include antihistamines, mast cell stabilizers, and in some cases, corticosteroids for severe inflammation.

What is the significance of limbar and corneal involvement?

Limbar and corneal involvement indicates a more severe form of the condition, which may require more aggressive treatment to prevent complications.