Paralytic ectropion of eyelid
ICD-10 H02.15 is a used to indicate a diagnosis of paralytic ectropion of eyelid.
Paralytic ectropion of the eyelid is characterized by the outward turning of the eyelid margin due to paralysis of the facial nerve, which innervates the orbicularis oculi muscle responsible for eyelid closure. This condition can lead to exposure of the conjunctiva and cornea, resulting in dryness, irritation, and potential damage to the ocular surface. The anatomy involved includes the eyelids, particularly the lower eyelid, the lacrimal system, and the surrounding periocular structures. Disease progression may vary; if left untreated, it can lead to chronic irritation, corneal ulcers, and vision impairment. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and possibly imaging studies to evaluate underlying causes such as trauma or neurological disorders. Treatment options may involve surgical intervention to correct the eyelid position, along with supportive care 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
H02.15 specifically covers paralytic ectropion resulting from facial nerve paralysis, which may be due to conditions such as Bell's palsy, stroke, or trauma. It is important to differentiate this from other forms of ectropion that may arise from mechanical or cicatricial causes.
H02.15 should be used when the ectropion is specifically due to paralysis of the eyelid muscles, as opposed to other types of ectropion that may not involve nerve damage. Accurate clinical documentation should support the choice of this code.
Documentation should include a detailed history of the patient's symptoms, neurological examination findings, and any imaging studies that support the diagnosis of facial nerve paralysis. Treatment plans and follow-up notes are also critical for comprehensive documentation.
