Spastic entropion of unspecified eye, unspecified eyelid
ICD-10 H02.049 is a billable code used to indicate a diagnosis of spastic entropion of unspecified eye, unspecified eyelid.
Spastic entropion of the unspecified eye and unspecified eyelid is characterized by an involuntary spasm of the eyelid muscles, leading to the inward turning of the eyelid margin. This condition can result in irritation, corneal abrasion, and potential vision impairment due to the eyelashes rubbing against the cornea. The anatomy involved includes the orbicularis oculi muscle, which controls eyelid movement, and the surrounding periocular structures, including the conjunctiva and cornea. Disease progression can vary; if left untreated, spastic entropion can lead to chronic discomfort and complications such as conjunctivitis or corneal ulcers. Diagnostic considerations include a thorough ocular examination, patient history, and possibly imaging studies to rule out underlying conditions such as neurological disorders or previous eyelid surgeries. Treatment options may include botulinum toxin injections to relax the spastic muscles or surgical intervention to correct the eyelid position.
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
H02.049 covers spastic entropion of the eyelid, which may be due to neurological conditions, muscle spasms, or other factors causing involuntary eyelid contraction. It is essential to differentiate it from other forms of entropion, such as involutional or cicatricial entropion.
H02.049 should be used when the entropion is spastic and the specific eyelid or eye is not specified. If the condition is localized to a specific eyelid (right or left), then the corresponding specific code should be used.
Documentation should include a comprehensive ocular examination report, patient history detailing symptoms such as irritation or tearing, and any previous treatments attempted. Clear notes on the clinical findings that led to the diagnosis of spastic entropion are also necessary.
