Spastic ectropion of left lower eyelid
ICD-10 H02.145 is a billable code used to indicate a diagnosis of spastic ectropion of left lower eyelid.
Spastic ectropion of the left lower eyelid is characterized by an involuntary spasm of the eyelid muscles, leading to the outward turning of the eyelid margin. This condition can result in exposure of the conjunctiva and cornea, potentially leading to irritation, dryness, and increased risk of infection. The anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the surrounding periocular structures, including the lacrimal system that plays a role in tear drainage and lubrication. Disease progression may vary; if left untreated, spastic ectropion can lead to chronic irritation and complications such as keratitis or corneal ulcers. Diagnosis typically involves a thorough clinical examination, including assessment of eyelid position and function, and may require imaging studies if associated orbital or lacrimal system abnormalities are suspected. Treatment options may include botulinum toxin injections to alleviate muscle spasm, surgical intervention for severe cases, and supportive measures to protect the ocular surface.
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
H02.145 specifically covers spastic ectropion of the left lower eyelid, which may occur due to neurological conditions, trauma, or idiopathic causes. It is important to differentiate it from other forms of ectropion, such as involutional or cicatricial ectropion.
H02.145 should be used when the condition is specifically spastic ectropion of the left lower eyelid. It is essential to use this code when the clinical presentation includes involuntary muscle spasms causing eyelid malposition, as opposed to other types of ectropion.
Documentation should include a detailed history of symptoms, clinical examination findings, and any imaging studies performed. Notes should clearly indicate the diagnosis of spastic ectropion and any treatments attempted, including response to therapy.
