Conjunctival hyperemia, unspecified eye
ICD-10 H11.439 is a billable code used to indicate a diagnosis of conjunctival hyperemia, unspecified eye.
Conjunctival hyperemia, or redness of the conjunctiva, is a common clinical finding characterized by the dilation of conjunctival blood vessels. This condition can affect one or both eyes and may present with symptoms such as eye discomfort, itching, or a sensation of grittiness. The conjunctiva is a thin, transparent membrane covering the white part of the eyeball and the inner surface of the eyelids, playing a crucial role in protecting the eye and maintaining ocular health. Conjunctival hyperemia can arise from various etiologies, including allergic reactions, infections (such as conjunctivitis), environmental irritants, or systemic conditions. Disease progression can vary; while some cases resolve spontaneously, others may require medical intervention. Diagnostic considerations include a thorough patient history, physical examination, and possibly additional tests to identify underlying causes. It is essential to differentiate conjunctival hyperemia from other ocular conditions, such as scleral or corneal disorders, which may present similarly but require different management approaches.
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
H11.439 encompasses cases of conjunctival hyperemia without further specification, which may include allergic conjunctivitis, viral conjunctivitis, or irritation from environmental factors. It does not specify the underlying cause, necessitating further investigation to determine the exact etiology.
H11.439 should be used when the specific eye affected is not known or when the hyperemia is bilateral. If the hyperemia is localized to one eye, codes H11.431 or H11.432 should be utilized for greater specificity.
Documentation should include a comprehensive eye examination report, patient symptoms, duration of symptoms, and any relevant medical history. Clear notes on the absence of other ocular conditions are also crucial to support the use of this code.
