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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.261

H16.261

Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye

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

Code Description

ICD-10 H16.261 is a billable code used to indicate a diagnosis of vernal keratoconjunctivitis, with limbar and corneal involvement, right eye.

Key Diagnostic Point:

Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Moderate clinical complexity due to the need for thorough examination and management of symptoms, including potential corneal involvement.

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 H16.261 When
  • Ensure accurate documentation of the patient's symptoms, history of allergic conditions, and specific findings related to the right eye's limbar and corneal involvement
  • Use additional codes for associated conditions if applicable

Exclusion Criteria

Do NOT use H16.261 When
No specific exclusions found.

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding is crucial for proper reimbursement and to ensure that the clinical significance of the condition is communicated effectively. Misclassification can lead to claim denials or delays.

ICD-9 vs ICD-10

Accurate coding is crucial for proper reimbursement and to ensure that the clinical significance of the condition is communicated effectively. Misclassification can lead to claim denials or delays.

Reimbursement & Billing Impact

reimbursement and to ensure that the clinical significance of the condition is communicated effectively. Misclassification can lead to claim denials or delays.

Resources

Clinical References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Clinical Management of Vernal Keratoconjunctivitis
  • •
    American Academy of Ophthalmology - Allergic Conjunctivitis

Coding & Billing References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Clinical Management of Vernal Keratoconjunctivitis
  • •
    American Academy of Ophthalmology - Allergic Conjunctivitis

Frequently Asked Questions

What are the common symptoms of Vernal Keratoconjunctivitis?

Common symptoms include itchy, watery eyes, redness, and swelling of the conjunctiva, as well as sensitivity to light and blurred vision due to corneal involvement.

How is Vernal Keratoconjunctivitis treated?

Treatment options include antihistamines, mast cell stabilizers, corticosteroids, and in some cases, immunotherapy. Management may also involve avoiding allergens.

Is Vernal Keratoconjunctivitis a chronic condition?

Yes, Vernal Keratoconjunctivitis is often a chronic condition that can recur seasonally, particularly in individuals with a history of allergies.