Unspecified lagophthalmos right upper eyelid
ICD-10 H02.201 is a billable code used to indicate a diagnosis of unspecified lagophthalmos right upper eyelid.
Lagophthalmos is a condition characterized by the inability to completely close the eyelids, which can lead to exposure of the cornea and subsequent ocular complications. In the case of unspecified lagophthalmos of the right upper eyelid, the patient may experience symptoms such as dryness, irritation, and potential damage to the corneal surface due to prolonged exposure. The anatomy involved includes the eyelids, which consist of skin, muscle, and connective tissue, as well as the lacrimal system responsible for tear production and drainage. The orbicularis oculi muscle plays a crucial role in eyelid closure, and any dysfunction or paralysis can result in lagophthalmos. This condition can progress if left untreated, leading to keratitis or even corneal ulceration. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and possibly imaging studies to evaluate underlying causes such as facial nerve palsy or structural abnormalities. Treatment may involve protective measures, lubricating eye drops, or surgical interventions to restore eyelid closure.
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
H02.201 covers unspecified lagophthalmos of the right upper eyelid, which may arise from various causes including facial nerve paralysis, trauma, or congenital conditions. It does not specify the underlying etiology, allowing for broader application in clinical settings.
H02.201 should be used when the specific cause of lagophthalmos is not documented or when the clinician has not specified a more detailed diagnosis. If the lagophthalmos is due to a known condition, a more specific code should be selected.
Documentation should include a detailed history of the patient's symptoms, a physical examination of eyelid function, and any relevant imaging studies or assessments that support the diagnosis of lagophthalmos.
