Conjunctivochalasis, bilateral
ICD-10 H11.823 is a billable code used to indicate a diagnosis of conjunctivochalasis, bilateral.
Conjunctivochalasis is characterized by the presence of redundant conjunctival tissue that can lead to ocular discomfort and visual disturbances. It typically occurs bilaterally and is often associated with aging, dry eye syndrome, or previous ocular surgeries. The conjunctiva, a thin membrane covering the sclera and lining the eyelids, becomes lax, resulting in folds that can interfere with tear film stability and ocular surface health. Patients may present with symptoms such as irritation, foreign body sensation, and excessive tearing. Diagnosis is primarily clinical, involving a thorough examination of the conjunctiva and anterior segment, often utilizing slit-lamp biomicroscopy to assess the extent of conjunctival redundancy. Disease progression can lead to chronic inflammation and may exacerbate underlying conditions like dry eye disease. It is crucial for healthcare providers to differentiate conjunctivochalasis from other conjunctival and scleral disorders, such as conjunctivitis or pterygium, to ensure appropriate management and treatment.
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
H11.823 specifically covers bilateral conjunctivochalasis, which is characterized by redundant conjunctival tissue that can lead to ocular discomfort. It is important to differentiate this condition from other conjunctival disorders such as conjunctivitis or pterygium.
H11.823 should be used when the condition is bilateral and presents with symptoms related to conjunctivochalasis. If the condition is unilateral, H11.821 should be used instead. Accurate documentation of symptoms and clinical findings is essential for correct code selection.
Documentation should include a detailed clinical examination report, noting the presence of conjunctival redundancy, symptoms experienced by the patient, and any relevant history such as previous ocular surgeries or dry eye syndrome. Photographic evidence may also support the diagnosis.
