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ICD-10 Guide
ICD-10 CodesH16.311

H16.311

Billable

Corneal abscess, right eye

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

Code Description

ICD-10 H16.311 is a billable code used to indicate a diagnosis of corneal abscess, right eye.

Key Diagnostic Point:

Corneal abscess, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Corneal abscesses can range from mild to severe, requiring careful assessment and management. Complications may include vision loss or perforation of the cornea, necessitating surgical intervention in some cases.

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 H16.311 When
  • Ensure accurate documentation of the patient's symptoms, clinical findings, and any diagnostic tests performed
  • Include details about the location and severity of the abscess, as well as any treatments administered

Exclusion Criteria

Do NOT use H16.311 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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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 reimbursement rates and ensures appropriate treatment plans. Misclassification can lead to denied claims or insufficient reimbursement for the complexity of care provided.

ICD-9 vs ICD-10

Accurate coding impacts reimbursement rates and ensures appropriate treatment plans. Misclassification can lead to denied claims or insufficient reimbursement for the complexity of care provided.

Reimbursement & Billing Impact

reimbursement rates and ensures appropriate treatment plans. Misclassification can lead to denied claims or insufficient reimbursement for the complexity of care provided.

Resources

Clinical References

  • •
    Corneal Ulcers and Abscesses: Diagnosis and Management
  • •
    American Academy of Ophthalmology - Corneal Diseases
  • •
    Corneal Abscess: A Review of Clinical Features and Management

Coding & Billing References

  • •
    Corneal Ulcers and Abscesses: Diagnosis and Management
  • •
    American Academy of Ophthalmology - Corneal Diseases
  • •
    Corneal Abscess: A Review of Clinical Features and Management

Frequently Asked Questions

What are the common symptoms of a corneal abscess?

Common symptoms include eye pain, redness, blurred vision, sensitivity to light, and discharge from the eye.

How is a corneal abscess treated?

Treatment may involve antibiotic eye drops, oral antibiotics, and in some cases, surgical intervention to drain the abscess.

Can a corneal abscess lead to permanent vision loss?

Yes, if not treated promptly and effectively, a corneal abscess can result in scarring and permanent vision loss.