Congenital entropion
ICD-10 Q10.2 is a billable code used to indicate a diagnosis of congenital entropion.
Congenital entropion is a condition characterized by the inward turning of the eyelid, which can lead to irritation of the cornea and conjunctiva due to the eyelashes rubbing against the eye. This condition is typically present at birth and may be associated with other congenital malformations of the eye, such as anophthalmia (absence of one or both eyes) or microphthalmia (abnormally small eyes). Congenital entropion can occur as an isolated defect or as part of a syndrome involving other facial or ocular anomalies. The severity of the condition can vary, and it may require surgical intervention to correct the eyelid position and prevent damage to the eye. Accurate diagnosis and coding are essential for appropriate management and treatment planning, particularly in pediatric populations where early intervention can significantly impact visual outcomes.
Pediatric documentation should include detailed descriptions of the child's ocular health, any associated congenital conditions, and the impact on visual development.
Common scenarios include newborns presenting with entropion, requiring assessment for associated ocular anomalies and potential surgical intervention.
Considerations include the age of the patient, the timing of surgical intervention, and the potential for long-term visual impairment.
Genetic documentation should include family history, potential syndromic associations, and any genetic testing results that may inform the diagnosis.
Scenarios may involve genetic counseling for families with a history of congenital eye anomalies or syndromes associated with entropion.
Considerations include the need for multidisciplinary collaboration to address both the ocular and genetic aspects of care.
Used in cases where surgical correction of congenital entropion is necessary.
Documentation must include the indication for surgery and any associated conditions.
Ophthalmology specialists should provide detailed operative notes.
Accurate coding of congenital entropion is crucial for ensuring appropriate treatment and management of the condition, as well as for tracking outcomes and potential associations with other congenital anomalies.
