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 CodesH02.126

H02.126

Billable

Mechanical ectropion of left eye, unspecified eyelid

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

Code Description

ICD-10 H02.126 is a billable code used to indicate a diagnosis of mechanical ectropion of left eye, unspecified eyelid.

Key Diagnostic Point:

Mechanical ectropion of the left eye, unspecified 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. The condition can arise from various factors, including age-related changes, trauma, or scarring. The eyelid anatomy involved includes the skin, muscle (orbicularis oculi), and connective tissue, which may be compromised in mechanical ectropion. Disease progression may lead to chronic conjunctivitis or corneal exposure, necessitating timely intervention. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and evaluation of associated ocular surface conditions. Treatment options may vary from conservative management, such as lubricating eye drops, to surgical correction depending on the severity and underlying cause of the ectropion.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a comprehensive assessment of eyelid anatomy and function.
  • Treatment complexity: May involve both conservative and surgical management options.
  • Documentation requirements: Detailed clinical notes and rationale for treatment are essential.
  • Coding specificity: Accurate coding necessitates understanding of eyelid disorders and their classifications.

Audit Risk Factors

  • Common coding errors: Misidentification of eyelid type or failure to specify laterality.
  • Documentation gaps: Incomplete clinical notes regarding the cause and treatment plan.
  • Billing challenges: Potential denials if documentation does not support the diagnosis or treatment provided.

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 due to discomfort and potential vision impairment. Understanding the epidemiology of this condition is crucial, as it is more prevalent in older populations and can lead to increased healthcare utilization due to complications like conjunctivitis or corneal damage. Quality measures may focus on timely intervention and patient education to prevent progression of the condition.

ICD-9 vs ICD-10

Mechanical ectropion can significantly affect a patient's quality of life due to discomfort and potential vision impairment. Understanding the epidemiology of this condition is crucial, as it is more prevalent in older populations and can lead to increased healthcare utilization due to complications like conjunctivitis or corneal damage. Quality measures may focus on timely intervention and patient education to prevent progression of the condition.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, whether it was surgical or conservative management. Common denials may arise if the documentation does not clearly support the diagnosis or if the treatment provided is not adequately justified. Best practices include ensuring that all clinical notes are thorough and that the rationale for the chosen treatment is clearly articulated in the medical record.

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 H02.126?

H02.126 specifically covers mechanical ectropion of the left eye, which may result from factors such as trauma, scarring, or age-related changes affecting the eyelid structure.

When should H02.126 be used instead of related codes?

H02.126 should be used when the ectropion is mechanical in nature and specifically affects the left eyelid, distinguishing it from other types of ectropion such as involutional or paralytic ectropion.

What documentation supports H02.126?

Documentation should include a detailed clinical examination, description of the eyelid's position and function, any underlying causes, and the treatment plan, including conservative or surgical interventions.