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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.263

H16.263

Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement, bilateral

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

Code Description

ICD-10 H16.263 is a billable code used to indicate a diagnosis of vernal keratoconjunctivitis, with limbar and corneal involvement, bilateral.

Key Diagnostic Point:

Vernal keratoconjunctivitis, with limbar and corneal involvement, bilateral

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Moderate complexity due to the need for thorough examination and potential treatment options, including topical medications and patient education.

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 H16.263 When
  • Ensure accurate documentation of symptoms, duration, and previous treatments
  • Include bilateral involvement in the documentation to support the use of H16

Exclusion Criteria

Do NOT use H16.263 When
No specific exclusions found.

Related ICD-10 Codes

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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 impacts patient management and treatment plans. Proper documentation ensures appropriate reimbursement for services rendered.

ICD-9 vs ICD-10

Accurate coding impacts patient management and treatment plans. Proper documentation ensures appropriate reimbursement for services rendered.

Reimbursement & Billing Impact

reimbursement for services rendered.

Resources

Clinical References

  • •
    Vernal Keratoconjunctivitis: A Review
  • •
    Management of Allergic Conjunctivitis
  • •
    American Academy of Ophthalmology - Vernal Keratoconjunctivitis

Coding & Billing References

  • •
    Vernal Keratoconjunctivitis: A Review
  • •
    Management of Allergic Conjunctivitis
  • •
    American Academy of Ophthalmology - Vernal Keratoconjunctivitis

Frequently Asked Questions

What are the common symptoms of vernal keratoconjunctivitis?

Common symptoms include itching, redness, tearing, and photophobia, often exacerbated by exposure to allergens.

How is vernal keratoconjunctivitis treated?

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

Is vernal keratoconjunctivitis a seasonal condition?

Yes, it is often seasonal and can be triggered by environmental allergens, particularly in spring and summer.