Mechanical ectropion of right lower eyelid
ICD-10 H02.122 is a billable code used to indicate a diagnosis of mechanical ectropion of right lower eyelid.
Mechanical ectropion of the right lower eyelid is characterized by the outward turning of the eyelid margin, leading to exposure of the conjunctiva and potential complications such as dryness, irritation, and infection. This condition can result from various factors including scarring, trauma, or age-related changes that affect the eyelid's structural integrity. The anatomy involved includes the lower eyelid, which is supported by the orbicularis oculi muscle, tarsal plate, and surrounding connective tissue. The lacrimal system may also be affected, as the ectropion can disrupt normal tear drainage, leading to epiphora (excessive tearing). Disease progression can vary; if left untreated, mechanical ectropion can lead to chronic conjunctivitis, corneal exposure, and even vision impairment. Diagnostic considerations include a thorough ocular examination, assessment of eyelid position, and evaluation of tear film stability. Imaging studies may be warranted in cases of suspected underlying structural abnormalities. Proper diagnosis is crucial for determining the appropriate management strategy, which may involve surgical intervention to restore eyelid position and function.
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
H02.122 specifically covers mechanical ectropion of the right lower eyelid, which can be caused by factors such as trauma, scarring, or age-related changes. It is important to differentiate this from other forms of ectropion, such as involutional or cicatricial ectropion.
H02.122 should be used when the mechanical ectropion specifically affects the right lower eyelid. If the left eyelid is involved, H02.121 should be used. Accurate coding is essential for proper treatment and reimbursement.
Documentation should include a detailed clinical examination noting the eyelid position, any associated symptoms (e.g., tearing, irritation), and the underlying cause of the ectropion. Photographic evidence may also be beneficial.
