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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.423

H16.423

Billable

Pannus (corneal), bilateral

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

Code Description

ICD-10 H16.423 is a billable code used to indicate a diagnosis of pannus (corneal), bilateral.

Key Diagnostic Point:

Pannus (corneal), bilateral

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
The clinical complexity of H16.423 involves understanding the underlying causes of corneal pannus, which can be associated with various ocular conditions, necessitating comprehensive evaluation and management strategies.

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 H16.423 When
  • Ensure accurate documentation of the patient's symptoms, history of ocular disease, and any previous treatments
  • Use H16
  • 423 specifically for bilateral corneal pannus, and consider additional codes for underlying conditions if applicable

Exclusion Criteria

Do NOT use H16.423 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

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 of H16.423 is crucial for appropriate reimbursement and reflects the severity of the patient's condition. Misclassification can lead to claim denials or underpayment.

ICD-9 vs ICD-10

Accurate coding of H16.423 is crucial for appropriate reimbursement and reflects the severity of the patient's condition. Misclassification can lead to claim denials or underpayment.

Reimbursement & Billing Impact

reimbursement and reflects the severity of the patient's condition. Misclassification can lead to claim denials or underpayment.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Pannus
  • •
    National Eye Institute - Corneal Diseases
  • •
    American Optometric Association - Corneal Health

Coding & Billing References

  • •
    American Academy of Ophthalmology - Pannus
  • •
    National Eye Institute - Corneal Diseases
  • •
    American Optometric Association - Corneal Health

Frequently Asked Questions

What is corneal pannus?

Corneal pannus is a condition characterized by the growth of vascular tissue over the cornea, often associated with chronic irritation or inflammation.

How is bilateral corneal pannus treated?

Treatment may include managing underlying conditions, using topical medications, or surgical interventions such as keratoplasty, depending on severity.

What are the common symptoms of corneal pannus?

Symptoms may include blurred vision, redness, irritation, and the appearance of a cloudy or opaque area on the cornea.