Congenital stenosis and stricture of lacrimal duct
ICD-10 Q10.5 is a billable code used to indicate a diagnosis of congenital stenosis and stricture of lacrimal duct.
Congenital stenosis and stricture of the lacrimal duct is a condition characterized by the narrowing or blockage of the lacrimal duct, which is responsible for draining tears from the eye into the nasal cavity. This condition can lead to excessive tearing (epiphora) and recurrent eye infections due to the accumulation of tears. It is often diagnosed in infants and young children, and may be associated with other congenital malformations of the eye, such as anophthalmia or microphthalmia. The etiology of this condition can be multifactorial, including genetic predispositions and environmental factors during fetal development. Treatment typically involves surgical intervention, such as probing or balloon dilation of the duct, to restore normal drainage. Early diagnosis and management are crucial to prevent complications such as chronic conjunctivitis or corneal damage. The condition may also be part of a broader spectrum of congenital anomalies affecting the ocular system, necessitating a comprehensive evaluation for associated conditions.
Pediatric documentation should include detailed descriptions of symptoms, onset, and any associated congenital anomalies. Growth and developmental assessments may also be relevant.
Common scenarios include infants presenting with excessive tearing, recurrent conjunctivitis, or a family history of congenital eye conditions.
Coders should be aware of the developmental milestones and how they relate to the diagnosis and treatment of congenital conditions.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations with congenital lacrimal duct stenosis.
Scenarios may involve genetic counseling for families with a history of congenital eye anomalies or syndromes that include lacrimal duct issues.
Consideration of chromosomal abnormalities that may be associated with lacrimal duct stenosis is essential for accurate coding.
Used in cases of congenital lacrimal duct stenosis when surgical intervention is required.
Documentation must include the indication for the procedure and any associated findings.
Ophthalmology specialists should provide detailed operative notes.
Common symptoms include excessive tearing, recurrent eye infections, and discharge from the eye. Parents may notice that the child has watery eyes or crusting around the eyelids.
