Senile entropion of unspecified eye, unspecified eyelid
ICD-10 H02.039 is a billable code used to indicate a diagnosis of senile entropion of unspecified eye, unspecified eyelid.
Senile entropion is a condition characterized by the inward turning of the eyelid, which can lead to irritation of the ocular surface due to the eyelashes rubbing against the cornea and conjunctiva. This condition is commonly seen in older adults as a result of age-related changes in the eyelid's structural integrity, including laxity of the eyelid skin and weakening of the supporting tissues. The anatomy involved includes the eyelids, which consist of skin, muscle, and connective tissue, as well as the lacrimal system that plays a role in tear production and drainage. The disease progression may lead to chronic irritation, corneal abrasions, and potential vision impairment if left untreated. Diagnostic considerations include a thorough clinical examination to assess eyelid position, ocular surface health, and any associated symptoms such as tearing or discomfort. Treatment options may range from conservative management, such as lubricating eye drops, to surgical intervention for severe cases. Accurate diagnosis and coding are essential for appropriate 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
H02.039 covers senile entropion of an unspecified eye and eyelid, which may include cases where the specific eyelid affected is not documented. It is important to note that this code does not cover entropion due to other causes such as scarring or congenital factors.
H02.039 should be used when the entropion is specifically due to senile changes and the affected eyelid is not specified. If the specific eyelid is known, then the more specific codes (H02.031 or H02.032) should be used.
Documentation should include a comprehensive eye examination report detailing the patient's symptoms, the clinical findings of eyelid position, and any treatment provided. Notes on the patient's age and any relevant medical history should also be included to support the diagnosis.
