Spastic ectropion of eyelid
ICD-10 H02.14 is a used to indicate a diagnosis of spastic ectropion of eyelid.
Spastic ectropion of the eyelid is characterized by the outward turning of the eyelid margin due to involuntary muscle contractions, often resulting from neurological conditions or muscle disorders. Clinically, patients may present with symptoms such as ocular irritation, excessive tearing, and exposure keratitis due to the inability of the eyelid to adequately cover the eye. The eyelid anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the tarsal plate, which provides structural support. Disease progression can lead to chronic exposure of the cornea, potentially resulting in vision impairment if left untreated. Diagnostic considerations include a thorough ophthalmic examination, assessment of eyelid function, and evaluation for underlying neurological conditions. Imaging studies may be warranted to rule out structural abnormalities in the orbit or lacrimal system that could contribute to the ectropion. Treatment options vary from conservative management, such as lubricating eye drops, to surgical interventions aimed at correcting the eyelid position and restoring proper 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
H02.14 specifically covers spastic ectropion of the eyelid, which may arise from conditions such as blepharospasm, facial nerve palsy, or other neurological disorders that affect eyelid muscle function.
H02.14 should be used when the ectropion is specifically due to spasticity or involuntary muscle contractions, distinguishing it from other forms of ectropion that may not involve neurological factors.
Documentation should include a detailed history of the patient's symptoms, results from a comprehensive eye examination, any neurological assessments performed, and treatment plans that outline both conservative and surgical options.
