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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.262

H16.262

Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement, left eye

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

Code Description

ICD-10 H16.262 is a billable code used to indicate a diagnosis of vernal keratoconjunctivitis, with limbar and corneal involvement, left eye.

Key Diagnostic Point:

Vernal keratoconjunctivitis, with limbar and corneal involvement, left eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Vernal keratoconjunctivitis with limbar and corneal involvement presents moderate clinical complexity due to potential complications affecting vision and the need for ongoing management.

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 H16.262 When
  • Ensure accurate documentation of symptoms, duration, and any prior treatments
  • Include details of corneal involvement and any associated conditions
  • Follow guidelines for coding allergic conjunctivitis and related eye conditions

Exclusion Criteria

Do NOT use H16.262 When
No specific exclusions found.

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CPT Code

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CPT Code

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding of H16.262 is essential for proper reimbursement and to reflect the severity of the condition. Misclassification can lead to claim denials or underpayment.

ICD-9 vs ICD-10

Accurate coding of H16.262 is essential for proper reimbursement and to reflect the severity of the condition. Misclassification can lead to claim denials or underpayment.

Reimbursement & Billing Impact

reimbursement and to reflect the severity of the condition. Misclassification can lead to claim denials or underpayment.

Resources

Clinical References

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

Coding & Billing References

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

Frequently Asked Questions

What are the common symptoms of vernal keratoconjunctivitis?

Common symptoms include itchy eyes, redness, tearing, and sensitivity to light, often exacerbated by seasonal allergens.

How is vernal keratoconjunctivitis treated?

Treatment may include antihistamines, mast cell stabilizers, corticosteroids, and in some cases, immunotherapy, depending on the severity of the condition.

What is the significance of corneal involvement in this condition?

Corneal involvement can lead to complications such as corneal scarring or vision impairment, necessitating careful monitoring and management.