Paralytic lagophthalmos right eye, unspecified eyelid
ICD-10 H02.233 is a billable code used to indicate a diagnosis of paralytic lagophthalmos right eye, unspecified eyelid.
Paralytic lagophthalmos refers to the inability to completely close the eyelids due to paralysis of the facial nerve, affecting the right eye and unspecified eyelid. This condition can arise from various etiologies, including Bell's palsy, stroke, or trauma. The eyelid anatomy consists of the upper and lower eyelids, which play a crucial role in protecting the eye, maintaining moisture, and facilitating tear distribution. In cases of lagophthalmos, the exposed cornea is at risk for dryness, irritation, and potential ulceration, leading to complications such as keratitis. Disease progression can vary, with some patients experiencing transient symptoms while others may have chronic exposure issues. Diagnosis typically involves a thorough clinical examination, including assessment of eyelid closure, corneal health, and potential underlying neurological conditions. Additional diagnostic tests may include imaging studies or nerve conduction studies to evaluate the extent of nerve involvement. Treatment options may range from conservative measures, such as lubricating eye drops, to surgical interventions aimed at improving eyelid closure and protecting the cornea.
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
H02.233 specifically covers paralytic lagophthalmos affecting the right eye and unspecified eyelid, primarily due to facial nerve paralysis. Conditions such as Bell's palsy, post-stroke facial weakness, or trauma-related nerve damage may lead to this diagnosis.
H02.233 should be used when there is clear documentation of paralysis affecting the right eye's eyelid closure. It is distinct from other codes that may describe non-paralytic eyelid disorders or lagophthalmos affecting other eyelids.
Documentation should include a detailed clinical examination noting the extent of eyelid closure, any neurological assessments performed, and treatment plans. Evidence of corneal exposure or irritation should also be documented to support the diagnosis.
