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 CodesH02.006

H02.006

Billable

Unspecified entropion of left eye, unspecified eyelid

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

Code Description

ICD-10 H02.006 is a billable code used to indicate a diagnosis of unspecified entropion of left eye, unspecified eyelid.

Key Diagnostic Point:

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. In the case of unspecified entropion of the left eye, the specific eyelid affected is not identified, which may complicate treatment and management. The anatomy involved includes the eyelid structures such as the orbicularis oculi muscle, tarsal plate, and the skin surrounding the eye. Disease progression can lead to chronic irritation, corneal abrasions, and potential vision impairment if left untreated. Diagnostic considerations include a thorough eye examination, assessment of eyelid position, and evaluation of symptoms such as redness, tearing, and discomfort. Treatment options may vary from conservative measures, such as lubricating eye drops, to surgical intervention for more severe cases. Accurate diagnosis and coding are essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate due to the need for a comprehensive eye examination and differentiation from other eyelid disorders.
  • Treatment complexity: Varies based on severity; may require surgical intervention which adds complexity.
  • Documentation requirements: Requires detailed clinical notes to support diagnosis and treatment plan.
  • Coding specificity: Moderate specificity as it pertains to a specific condition but lacks detail on the eyelid involved.

Audit Risk Factors

  • Common coding errors: Misidentification of the eyelid involved or using a more specific code when unspecified is appropriate.
  • Documentation gaps: Lack of detailed clinical notes regarding the patient's symptoms and examination findings.
  • Billing challenges: Potential for denials if documentation does not clearly support the diagnosis or if the condition is not adequately described.

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

General Practice

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Entropion can significantly affect a patient's quality of life, leading to discomfort and potential vision loss if untreated. Understanding the epidemiology of this condition is crucial, as it may be more prevalent in older populations. Effective management can reduce healthcare utilization by preventing complications such as corneal damage, thus improving overall population health outcomes.

ICD-9 vs ICD-10

Entropion can significantly affect a patient's quality of life, leading to discomfort and potential vision loss if untreated. Understanding the epidemiology of this condition is crucial, as it may be more prevalent in older populations. Effective management can reduce healthcare utilization by preventing complications such as corneal damage, thus improving overall population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear clinical notes that outline the patient's symptoms and the rationale for treatment. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all relevant clinical findings are recorded and that the coding accurately reflects the condition being treated.

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 H02.006?

H02.006 covers unspecified entropion of the left eye, which may include cases where the eyelid is turning inward but the specific eyelid (upper or lower) is not specified. It may also encompass cases where the entropion is due to age-related changes, scarring, or other underlying conditions.

When should H02.006 be used instead of related codes?

H02.006 should be used when the specific eyelid affected is not documented, and there is a clear diagnosis of entropion. If the specific eyelid is known, a more specific code should be selected to ensure accurate representation of the condition.

What documentation supports H02.006?

Documentation should include a detailed eye examination report, noting the presence of entropion, symptoms experienced by the patient, and any relevant history that may contribute to the condition. Photographic evidence may also be beneficial.