Paralytic ectropion of right lower eyelid
ICD-10 H02.152 is a billable code used to indicate a diagnosis of paralytic ectropion of right lower eyelid.
Paralytic ectropion of the right lower 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. Clinically, patients may present with exposure of the conjunctiva and cornea, leading to symptoms such as dryness, irritation, and potential corneal damage. The anatomy involved includes the eyelid structure, particularly the lower eyelid, and the surrounding periocular tissues. Disease progression can vary; if left untreated, it may lead to chronic irritation, exposure keratitis, and even vision impairment. Diagnostic considerations include a thorough clinical examination, assessment of facial nerve function, and possibly imaging studies to rule out underlying causes such as tumors or trauma. Treatment typically involves surgical intervention to correct the eyelid position and restore function, alongside supportive care for any corneal exposure.
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
H02.152 specifically covers paralytic ectropion of the right lower eyelid, which may arise from conditions such as Bell's palsy, stroke, or trauma affecting the facial nerve.
H02.152 should be used when the diagnosis specifically involves the right lower eyelid and is due to paralysis. It is important to differentiate it from other types of ectropion, such as involutional or cicatricial ectropion.
Documentation should include a detailed history of the patient's facial nerve function, clinical examination findings, and any imaging studies performed. Notes should clearly indicate the diagnosis of paralytic ectropion and the affected eyelid.
