Unspecified lagophthalmos right eye, unspecified eyelid
ICD-10 H02.203 is a billable code used to indicate a diagnosis of unspecified lagophthalmos right eye, unspecified eyelid.
Lagophthalmos is a condition characterized by the inability to completely close the eyelids, which can lead to exposure of the cornea and subsequent complications such as dryness, irritation, and potential corneal damage. In the case of unspecified lagophthalmos of the right eye, the exact cause may not be immediately identifiable, but it can arise from various factors including facial nerve paralysis, eyelid malformations, or trauma. The anatomy involved includes the eyelids, which consist of the upper and lower eyelids, and the surrounding periocular structures that play a crucial role in protecting the eye and maintaining tear film stability. The lacrimal system, responsible for tear production and drainage, may also be affected, leading to further complications. Disease progression can vary; if left untreated, lagophthalmos can result in chronic keratitis or even corneal ulceration. Diagnostic considerations include a thorough clinical examination, assessment of eyelid function, and possibly imaging studies to evaluate underlying causes. Treatment may involve lubricating eye drops, eyelid weights, or surgical interventions depending on the severity and underlying etiology.
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
H02.203 covers unspecified lagophthalmos of the right eye, which may result from conditions such as Bell's palsy, trauma, or congenital eyelid abnormalities. It is essential to evaluate the underlying cause for appropriate management.
H02.203 should be used when the lagophthalmos is specifically affecting the right eye and the cause is not clearly defined. If the cause is known, more specific codes may be applicable.
Documentation should include a detailed history of the patient's symptoms, clinical examination findings, any imaging studies performed, and treatment plans. Clear notes on the impact of lagophthalmos on the patient's quality of life are also beneficial.
