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ICD-10 Guide
ICD-10 CodesH16.431

H16.431

Billable

Localized vascularization of cornea, right eye

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

Code Description

ICD-10 H16.431 is a billable code used to indicate a diagnosis of localized vascularization of cornea, right eye.

Key Diagnostic Point:

Localized vascularization of cornea, right eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Localized vascularization of the cornea can indicate underlying conditions such as corneal dystrophies or infections, requiring careful assessment and potential intervention. Management may involve monitoring, medications, or surgical options depending on severity.

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 H16.431 When
  • Ensure accurate documentation of the patient's symptoms, history, and examination findings related to corneal vascularization
  • Use H16
  • 431 specifically for localized vascularization of the right eye, and consider additional codes for any associated conditions

Exclusion Criteria

Do NOT use H16.431 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

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CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding of H16.431 can affect patient management strategies and treatment plans. It is crucial for ensuring appropriate reimbursement for services rendered, particularly in cases requiring specialized care or surgical intervention.

ICD-9 vs ICD-10

Accurate coding of H16.431 can affect patient management strategies and treatment plans. It is crucial for ensuring appropriate reimbursement for services rendered, particularly in cases requiring specialized care or surgical intervention.

Reimbursement & Billing Impact

reimbursement for services rendered, particularly in cases requiring specialized care or surgical intervention.

Resources

Clinical References

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

Coding & Billing References

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

Frequently Asked Questions

What are the common symptoms associated with localized vascularization of the cornea?

Common symptoms may include blurred vision, discomfort, redness, and sensitivity to light. Patients may also report changes in vision.

How is localized vascularization of the cornea treated?

Treatment options may include topical medications, surgical intervention, or monitoring, depending on the underlying cause and severity of the condition.

Is H16.431 applicable for both acute and chronic conditions?

Yes, H16.431 can be used for both acute and chronic cases of localized vascularization, as long as the documentation supports the diagnosis.