ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH02.205

H02.205

Billable

Unspecified lagophthalmos left lower eyelid

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H02.205 is a billable code used to indicate a diagnosis of unspecified lagophthalmos left lower eyelid.

Key Diagnostic Point:

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 left lower eyelid (H02.205), the patient may present with symptoms including excessive tearing, redness, and discomfort in the affected eye. The anatomy involved includes the eyelids, particularly the lower eyelid, which plays a crucial role in protecting the eye and maintaining moisture through blinking. 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 lead to chronic keratitis or even corneal ulceration. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess the underlying causes, which may include neurological disorders, trauma, or anatomical abnormalities. Treatment options may range from lubricating eye drops to surgical interventions, depending on the severity and underlying cause of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the affected eyelid or failing to document the underlying cause.
  • Documentation gaps may arise if the clinical rationale for the diagnosis is not clearly articulated.
  • Billing challenges can occur if the treatment plan is not adequately supported by clinical documentation.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Lagophthalmos can significantly impact a patient's quality of life, leading to discomfort and potential vision loss if not managed appropriately. Its prevalence may vary based on underlying conditions such as Bell's palsy or other neurological disorders. Understanding the epidemiology of lagophthalmos is crucial for healthcare providers to implement effective screening and management strategies, ultimately improving patient outcomes and reducing healthcare utilization.

ICD-9 vs ICD-10

Lagophthalmos can significantly impact a patient's quality of life, leading to discomfort and potential vision loss if not managed appropriately. Its prevalence may vary based on underlying conditions such as Bell's palsy or other neurological disorders. Understanding the epidemiology of lagophthalmos is crucial for healthcare providers to implement effective screening and management strategies, ultimately improving patient outcomes and reducing healthcare utilization.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the complexity of the treatment plan and the payer's policies. Common denials may occur if the documentation does not clearly support the diagnosis or if the treatment is deemed not medically necessary. Best practices include thorough documentation of the clinical rationale for the diagnosis and any associated procedures performed.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H02.205?

H02.205 covers unspecified lagophthalmos of the left lower eyelid, which may arise from various conditions such as facial nerve palsy, trauma, or congenital anomalies affecting eyelid closure.

When should H02.205 be used instead of related codes?

H02.205 should be used when the lagophthalmos is specifically noted as affecting the left lower eyelid without further specification of the cause. If the condition is bilateral or affects the right eyelid, other codes should be selected.

What documentation supports H02.205?

Documentation should include a detailed clinical assessment, patient history, and any imaging studies that support the diagnosis of lagophthalmos affecting the left lower eyelid. Treatment plans and follow-up notes should also be included.