Spastic ectropion of unspecified eye, unspecified eyelid
ICD-10 H02.149 is a billable code used to indicate a diagnosis of spastic ectropion of unspecified eye, unspecified eyelid.
Spastic ectropion of the unspecified eye and eyelid is characterized by an involuntary spasm of the eyelid muscles leading to an outward turning of the eyelid margin. This condition can result in exposure of the conjunctiva and cornea, leading to dryness, irritation, and potential damage to the ocular surface. The eyelid anatomy involved includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the tarsal plate that provides structural support. The lacrimal system may also be affected, as ectropion can disrupt normal tear drainage, exacerbating symptoms of dryness and irritation. Disease progression may vary; if left untreated, chronic exposure can lead to complications such as keratitis or conjunctivitis. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and evaluation of tear production. Additional imaging may be warranted in complex cases to rule out underlying orbital or neurological conditions.
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
H02.149 covers spastic ectropion of the eyelid, which may arise from neurological conditions, muscle spasms, or other factors leading to eyelid malposition. It is crucial to differentiate it from other forms of ectropion, such as involutional or cicatricial ectropion.
H02.149 should be used when the spastic nature of the ectropion is confirmed and the specific eyelid is not identified. If the condition is localized to a specific eyelid, related codes should be considered.
Documentation should include a detailed history of the patient's symptoms, clinical examination findings, and any diagnostic tests performed. Notes should clearly indicate the diagnosis of spastic ectropion and the rationale for the selected code.
