Paralytic lagophthalmos
ICD-10 H02.23 is a used to indicate a diagnosis of paralytic lagophthalmos.
Paralytic lagophthalmos is a condition characterized by the inability to completely close the eyelids due to paralysis of the facial nerve, commonly associated with conditions such as Bell's palsy or other neurological disorders. The eyelid anatomy involved includes the upper and lower eyelids, which are crucial for protecting the eye and maintaining moisture. In this condition, the affected eyelid may remain partially open, leading to exposure keratopathy, dry eye syndrome, and potential corneal damage. Disease progression can vary; if left untreated, it may result in chronic irritation and vision impairment. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess underlying neurological conditions. Treatment may involve protective measures for the eye, such as lubricating eye drops, eyelid weights, or surgical interventions to improve eyelid closure. Early diagnosis and management are essential to prevent complications and preserve visual function.
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
H02.23 specifically covers paralytic lagophthalmos resulting from facial nerve paralysis, commonly seen in conditions like Bell's palsy, stroke, or trauma affecting the facial nerve.
H02.23 should be used when the lagophthalmos is specifically due to paralysis of the eyelids, differentiating it from other forms of lagophthalmos that may not involve nerve damage.
Documentation should include a detailed patient history, neurological examination findings, and any imaging studies that support the diagnosis of facial nerve paralysis.
