Cicatricial lagophthalmos
ICD-10 H02.21 is a used to indicate a diagnosis of cicatricial lagophthalmos.
Cicatricial lagophthalmos is a condition characterized by the inability to completely close the eyelids due to scarring or fibrosis, often resulting from trauma, surgery, or inflammatory diseases. The eyelids play a crucial role in protecting the eye, maintaining moisture, and facilitating tear distribution. In cicatricial lagophthalmos, the affected eyelid may exhibit a shortened or retracted appearance, leading to exposure keratitis, discomfort, and potential vision impairment. The condition can progress if not addressed, leading to chronic dryness and corneal damage. Diagnosis typically involves a thorough clinical examination, including assessment of eyelid closure, corneal health, and tear film stability. Additional diagnostic tools may include slit-lamp examination and ocular surface staining to evaluate the extent of corneal exposure and damage. Understanding the underlying cause of the cicatricial changes is essential for effective management and treatment planning.
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
H02.21 specifically covers cicatricial lagophthalmos resulting from scarring due to trauma, surgery, or inflammatory conditions affecting the eyelids. It is important to differentiate it from other forms of lagophthalmos that may not involve scarring.
H02.21 should be used when there is clear evidence of eyelid scarring that affects closure. If the lagophthalmos is due to neurological causes or other non-scarring conditions, different codes should be selected.
Documentation should include a detailed clinical history, examination findings that confirm eyelid scarring, and any imaging or diagnostic tests performed to assess the condition. Treatment plans and follow-up notes are also essential.
