Paralytic ectropion of left lower eyelid
ICD-10 H02.155 is a billable code used to indicate a diagnosis of paralytic ectropion of left lower eyelid.
Paralytic ectropion of the left lower eyelid is characterized by the outward turning of the eyelid margin due to paralysis of the facial nerve, which innervates the muscles responsible for eyelid closure. This condition can lead to exposure keratitis, dry eye, and cosmetic concerns. The left lower eyelid's anatomy includes the orbicularis oculi muscle, which plays a crucial role in eyelid function. When this muscle is paralyzed, the eyelid cannot maintain proper contact with the eyeball, resulting in ectropion. Disease progression may vary; if left untreated, it can lead to chronic irritation and potential corneal damage. Diagnosis typically involves a thorough clinical examination, including assessment of eyelid position, corneal health, and evaluation of facial nerve function. Imaging studies may be warranted to rule out underlying structural issues. Treatment options may include surgical intervention to correct the eyelid position and restore function, as well as supportive measures to protect the eye from 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
H02.155 specifically covers paralytic ectropion of the left lower eyelid, primarily resulting from facial nerve paralysis, such as in Bell's palsy or after surgical trauma.
H02.155 should be used when the ectropion is directly linked to paralysis of the facial nerve, distinguishing it from other forms of ectropion that may not involve nerve damage.
Documentation should include a detailed clinical assessment of eyelid position, facial nerve function tests, and any imaging studies performed to evaluate the underlying cause of paralysis.