Paralytic lagophthalmos unspecified eye, unspecified eyelid
ICD-10 H02.239 is a billable code used to indicate a diagnosis of paralytic lagophthalmos unspecified eye, unspecified eyelid.
Paralytic 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 ulceration. This condition can arise from various causes, including facial nerve paralysis, trauma, or neurological disorders affecting eyelid function. The anatomy involved includes the eyelids, which consist of the upper and lower eyelids, and the orbicularis oculi muscle responsible for eyelid closure. The lacrimal system, which produces and drains tears, is also affected, as inadequate eyelid closure can disrupt tear film stability. Disease progression may lead to chronic ocular surface disease if not managed appropriately. Diagnostic considerations include a thorough history and physical examination, assessment of eyelid function, and possibly imaging studies to evaluate underlying causes. Management may involve protective measures for the eye, such as lubricating eye drops, eyelid weights, or surgical interventions to improve eyelid closure.
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
H02.239 covers cases of paralytic lagophthalmos where the specific eye and eyelid are not specified. This may include conditions resulting from facial nerve palsy, trauma, or other neurological disorders affecting eyelid function.
H02.239 should be used when the specific eye or eyelid affected is not documented. If the condition is localized to one eye, the specific codes for right or left eyelid paralysis should be used instead.
Documentation should include a detailed clinical history, physical examination findings, and any diagnostic tests performed to evaluate eyelid function and underlying causes of paralysis.
