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 CodesH02.124

H02.124

Billable

Mechanical ectropion of left upper eyelid

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

Code Description

ICD-10 H02.124 is a billable code used to indicate a diagnosis of mechanical ectropion of left upper eyelid.

Key Diagnostic Point:

Mechanical ectropion of the left upper 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 arise from various factors, including trauma, scarring, or the presence of tumors that exert mechanical pressure on the eyelid. The anatomy involved includes the eyelid itself, which consists of skin, muscle, and connective tissue, as well as the surrounding periocular structures such as the lacrimal glands responsible for tear production. Disease progression may lead to chronic irritation and discomfort, necessitating intervention. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and evaluation of any underlying conditions contributing to the ectropion. Imaging studies may be warranted in cases where tumors or significant anatomical abnormalities are suspected. Proper diagnosis and management are crucial to prevent complications and restore eyelid function.

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 misidentifying the eyelid affected or confusing ectropion with entropion.
  • Documentation gaps may arise if the underlying cause of ectropion is not clearly stated.
  • Billing challenges can occur if the procedure performed is not adequately justified by the documentation.

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

Plastic Surgery

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

Mechanical ectropion can significantly affect a patient's quality of life, leading to discomfort and potential complications such as conjunctivitis or corneal exposure. Understanding the epidemiology of eyelid disorders, including ectropion, is crucial for healthcare providers to address population health needs effectively. Quality measures may include tracking the incidence of ectropion and the outcomes of surgical interventions, which can inform healthcare utilization patterns and improve patient care.

ICD-9 vs ICD-10

Mechanical ectropion can significantly affect a patient's quality of life, leading to discomfort and potential complications such as conjunctivitis or corneal exposure. Understanding the epidemiology of eyelid disorders, including ectropion, is crucial for healthcare providers to address population health needs effectively. Quality measures may include tracking the incidence of ectropion and the outcomes of surgical interventions, which can inform healthcare utilization patterns and improve patient care.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case and the necessity of surgical intervention if indicated. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the procedure. Best practices include ensuring that all clinical findings are clearly documented and that the coding accurately reflects the services rendered to avoid audits and denials.

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 H02.124?

H02.124 specifically covers mechanical ectropion of the left upper eyelid, which may result from trauma, surgical complications, or tumors. It is important to differentiate this from other forms of ectropion, such as involutional or cicatricial ectropion, which have different underlying causes.

When should H02.124 be used instead of related codes?

H02.124 should be used when the ectropion is specifically mechanical in nature and affects the left upper eyelid. If the ectropion is due to other causes, such as involutional changes or scarring, other codes should be selected accordingly.

What documentation supports H02.124?

Documentation should include a detailed clinical examination note describing the ectropion, any associated symptoms, and the underlying cause. Photographic evidence may also be beneficial, along with any relevant imaging studies that support the diagnosis.