Paralytic lagophthalmos left upper eyelid
ICD-10 H02.234 is a billable code used to indicate a diagnosis of paralytic lagophthalmos left upper eyelid.
Paralytic lagophthalmos of the left upper eyelid is characterized by the inability to fully close the eyelid due to paralysis of the facial nerve, often resulting from conditions such as Bell's palsy, stroke, or trauma. The eyelid anatomy includes the orbicularis oculi muscle, which is responsible for eyelid closure, and the levator palpebrae superioris muscle, which elevates the upper eyelid. In cases of lagophthalmos, the affected eyelid may remain partially open, leading to exposure keratopathy, dryness, and potential corneal damage. Disease progression can vary, with acute cases often improving over time, while chronic cases may require surgical intervention to restore eyelid function. Diagnostic considerations include a thorough clinical examination, patient history, and possibly imaging studies to assess underlying causes. Treatment may involve lubricating eye drops, eyelid weights, or surgical options such as tarsorrhaphy or eyelid reconstruction, depending on severity and duration of symptoms.
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
H02.234 specifically covers paralytic lagophthalmos of the left upper eyelid, which can result from facial nerve paralysis due to various etiologies such as Bell's palsy, trauma, or neurological disorders.
H02.234 should be used when the clinical presentation specifically indicates paralysis of the left upper eyelid. It is important to differentiate from other eyelid disorders such as ptosis or lagophthalmos due to mechanical causes.
Documentation should include a detailed clinical examination, patient history indicating the cause of paralysis, and any treatment plans or interventions undertaken. Notes should clearly state the diagnosis of left-sided lagophthalmos.
