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ICD-10 Guide
ICD-10 CodesH02.129

H02.129

Billable

Mechanical ectropion of unspecified eye, unspecified eyelid

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

Code Description

ICD-10 H02.129 is a billable code used to indicate a diagnosis of mechanical ectropion of unspecified eye, unspecified eyelid.

Key Diagnostic Point:

Mechanical ectropion of the unspecified eye and unspecified eyelid is characterized by the outward turning of the eyelid margin, which can lead to exposure of the conjunctiva and cornea. This condition may arise due to mechanical factors such as scarring, trauma, or age-related changes that alter the structural integrity of the eyelid. The eyelid anatomy includes the skin, muscle, and connective tissue that support its function in protecting the eye and maintaining tear drainage. Ectropion can result in symptoms such as ocular irritation, excessive tearing, and potential exposure keratitis. Disease progression may lead to chronic discomfort and visual impairment if left untreated. Diagnosis typically involves a thorough clinical examination, including assessment of eyelid position, tear film stability, and ocular surface health. Diagnostic considerations may also include ruling out other eyelid disorders such as entropion or eyelid tumors. Treatment options may vary from conservative management with lubricating eye drops to surgical intervention for severe cases. Understanding the underlying causes and anatomical implications is crucial for effective management and coding of this condition.

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 eye or eyelid involved.
  • Documentation gaps may arise if the specific cause of ectropion is not clearly stated.
  • 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

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 impact patient quality of life due to discomfort and potential visual impairment. It is important for healthcare providers to recognize the condition's prevalence, especially in older populations, to implement effective management strategies. Understanding the epidemiological aspects of ectropion can aid in developing preventive measures and improving patient outcomes in ocular health.

ICD-9 vs ICD-10

Mechanical ectropion can significantly impact patient quality of life due to discomfort and potential visual impairment. It is important for healthcare providers to recognize the condition's prevalence, especially in older populations, to implement effective management strategies. Understanding the epidemiological aspects of ectropion can aid in developing preventive measures and improving patient outcomes in ocular health.

Reimbursement & Billing Impact

Reimbursement considerations may include the severity of the condition and the treatment provided. Common denials may arise if the documentation does not sufficiently support the diagnosis or if the procedure performed is not clearly linked to the diagnosis. Coding best practices involve using the most specific code available and ensuring that all relevant clinical information is included in the medical record to support the claim.

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 H02.129?

H02.129 covers mechanical ectropion due to various causes such as scarring, trauma, or age-related changes affecting the eyelid's structural integrity, leading to outward turning of the eyelid margin.

When should H02.129 be used instead of related codes?

H02.129 should be used when the specific eye and eyelid involved are not documented, and when the ectropion is due to mechanical factors without further specification.

What documentation supports H02.129?

Documentation should include a detailed clinical examination, the specific cause of ectropion, symptoms experienced by the patient, and any previous treatments attempted.