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ICD-10 Guide
ICD-10 CodesH02.05

H02.05

Non-billable

Trichiasis without entropion

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

Code Description

ICD-10 H02.05 is a used to indicate a diagnosis of trichiasis without entropion.

Key Diagnostic Point:

Trichiasis without entropion is characterized by the misdirection of eyelashes towards the eyeball, leading to potential ocular irritation and damage. The condition primarily affects the eyelids, specifically the eyelashes, which may rub against the cornea and conjunctiva, causing discomfort, redness, and tearing. The anatomy involved includes the eyelids, eyelashes, and the surrounding periocular structures. Unlike entropion, where the eyelid itself turns inward, trichiasis occurs without this inversion, making it a distinct clinical entity. Disease progression can lead to chronic irritation, corneal abrasions, and even vision impairment if left untreated. Diagnosis typically involves a thorough ocular examination, where the clinician assesses the direction of eyelash growth and evaluates any associated symptoms. It is crucial to differentiate trichiasis from other eyelid disorders, such as entropion and ectropion, to ensure appropriate management and treatment strategies are employed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassifying trichiasis as entropion.
  • Documentation gaps may arise if the clinician does not clearly note the absence of entropion.
  • Billing challenges can occur if the treatment plan is not adequately documented.

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

Dermatology

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

Trichiasis without entropion can significantly impact patient quality of life due to discomfort and potential vision impairment. It is essential for healthcare providers to recognize and treat this condition promptly to prevent complications such as corneal abrasions. Understanding the epidemiology of trichiasis, particularly in populations with high rates of ocular surface disease, can inform public health initiatives aimed at improving eye health and reducing the burden of preventable vision loss.

ICD-9 vs ICD-10

Trichiasis without entropion can significantly impact patient quality of life due to discomfort and potential vision impairment. It is essential for healthcare providers to recognize and treat this condition promptly to prevent complications such as corneal abrasions. Understanding the epidemiology of trichiasis, particularly in populations with high rates of ocular surface disease, can inform public health initiatives aimed at improving eye health and reducing the burden of preventable vision loss.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but generally, proper coding and documentation can prevent denials. Common denials may arise from insufficient documentation of the condition or misclassification of the diagnosis. Best practices include using clear, concise language in documentation and ensuring that all relevant clinical information is included to support the diagnosis and treatment provided.

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 H02.05?

H02.05 specifically covers trichiasis, which is the misdirection of eyelashes towards the eye without the presence of entropion. It may be associated with conditions such as chronic blepharitis or previous eyelid surgeries.

When should H02.05 be used instead of related codes?

H02.05 should be used when the patient presents with misdirected eyelashes causing ocular irritation, but without any inward turning of the eyelid (entropion). Accurate differentiation is essential for proper treatment and coding.

What documentation supports H02.05?

Documentation should include a detailed ocular examination noting the direction of eyelash growth, symptoms experienced by the patient, and any previous treatments or surgeries related to the eyelids.