ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH02.0

H02.0

Non-billable

Entropion and trichiasis of eyelid

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

Code Description

ICD-10 H02.0 is a used to indicate a diagnosis of entropion and trichiasis of eyelid.

Key Diagnostic Point:

Entropion and trichiasis of the eyelid are conditions characterized by the inward turning of the eyelid (entropion) and the misdirection of eyelashes towards the eyeball (trichiasis). Clinically, patients may present with symptoms such as ocular irritation, redness, tearing, and potential corneal abrasion due to the constant irritation from the lashes. The anatomy involved includes the eyelids, eyelashes, and the surrounding periocular structures, which play a crucial role in protecting the eye and maintaining tear film stability. Disease progression can lead to chronic discomfort, corneal damage, and vision impairment if left untreated. Diagnostic considerations include a thorough ocular examination, patient history, and assessment of eyelid position and eyelash orientation. Treatment options may range from conservative measures, such as lubricating eye drops, to surgical interventions aimed at correcting the eyelid position and removing misdirected lashes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful examination and differentiation from other eyelid disorders.
  • Treatment complexity: May involve both medical and surgical management.
  • Documentation requirements: Detailed clinical notes are necessary to justify the diagnosis and treatment.
  • Coding specificity: Requires accurate coding to reflect the specific condition and any associated procedures.

Audit Risk Factors

  • Common coding errors: Misidentifying the condition or using a non-specific code.
  • Documentation gaps: Incomplete patient history or examination notes.
  • Billing challenges: Difficulty in obtaining reimbursement for surgical procedures if documentation is insufficient.

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

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of H02.0 lies in its potential to cause chronic discomfort and vision impairment if untreated. Population health impact includes increased healthcare utilization due to complications arising from these conditions. Quality measures may focus on timely diagnosis and treatment to prevent corneal damage. Epidemiologically, entropion and trichiasis are more prevalent in older populations, highlighting the need for awareness and appropriate management in geriatric care.

ICD-9 vs ICD-10

The clinical significance of H02.0 lies in its potential to cause chronic discomfort and vision impairment if untreated. Population health impact includes increased healthcare utilization due to complications arising from these conditions. Quality measures may focus on timely diagnosis and treatment to prevent corneal damage. Epidemiologically, entropion and trichiasis are more prevalent in older populations, highlighting the need for awareness and appropriate management in geriatric care.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of surgical interventions, which may require prior authorization. Common denials can occur if documentation does not clearly establish the medical necessity of the procedure. Best practices include ensuring that all clinical notes are thorough and that any surgical procedures are well-justified in the patient’s medical record.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H02.0?

H02.0 covers entropion and trichiasis of the eyelid, which may occur independently or together. Diagnostic criteria include the presence of inwardly turned eyelids and misdirected eyelashes causing ocular discomfort.

When should H02.0 be used instead of related codes?

H02.0 should be used when the patient presents with both entropion and trichiasis. If only one condition is present, the appropriate specific code should be selected.

What documentation supports H02.0?

Documentation should include a comprehensive ocular examination, patient symptoms, and any prior treatments attempted. Photographic evidence may also support the diagnosis.