Unspecified entropion of right upper eyelid
ICD-10 H02.001 is a billable code used to indicate a diagnosis of unspecified entropion of right upper eyelid.
Unspecified entropion of the right upper eyelid is characterized by the inward turning of the eyelid margin, which can lead to irritation of the conjunctiva and cornea due to the eyelashes rubbing against the ocular surface. This condition can be congenital or acquired, with potential causes including aging, scarring, or muscle dysfunction. The anatomy involved includes the eyelid structures such as the orbicularis oculi muscle, tarsal plate, and the conjunctiva. Disease progression may lead to chronic irritation, corneal abrasion, or even vision impairment if left untreated. Diagnosis typically involves a comprehensive eye examination, including visual acuity tests and slit-lamp examination to assess the degree of eyelid inversion and any associated ocular surface damage. Treatment options may vary from conservative management, such as lubricating eye drops, to surgical intervention for more severe cases. Accurate diagnosis and coding are essential for effective management and reimbursement.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H02.001 covers unspecified entropion of the right upper eyelid, which may include cases of congenital entropion, age-related changes, or entropion resulting from scarring or muscle weakness. It is essential to differentiate this from other eyelid disorders such as ectropion or ptosis.
H02.001 should be used when the entropion is specifically affecting the right upper eyelid and is unspecified in nature. If the condition is clearly defined or affects other eyelids, related codes should be selected accordingly.
Documentation should include a detailed history of the patient's symptoms, results from the eye examination, any imaging studies if performed, and a treatment plan. Notes should clearly indicate the diagnosis of unspecified entropion of the right upper eyelid.
