Perforated corneal ulcer, right eye
ICD-10 H16.071 is a billable code used to indicate a diagnosis of perforated corneal ulcer, right eye.
H16.071 refers to a perforated corneal ulcer in the right eye, a serious ocular condition characterized by the erosion of the corneal epithelium leading to a full-thickness defect. Clinically, patients may present with severe eye pain, redness, photophobia, and decreased vision. The cornea, a transparent front part of the eye, plays a crucial role in focusing light and protecting internal structures. A perforated ulcer can result from various etiologies, including bacterial, viral, or fungal infections, as well as chemical injuries or prolonged contact lens wear. Disease progression can lead to complications such as endophthalmitis, which is an inflammation of the interior of the eye, and potentially result in vision loss if not treated promptly. Diagnostic considerations include a thorough ocular examination, slit-lamp biomicroscopy, and possibly corneal cultures to identify the causative organism. Timely intervention is critical to prevent further ocular damage and preserve vision.
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
H16.071 covers perforated corneal ulcers specifically in the right eye, which may arise from infections, trauma, or other corneal diseases leading to a full-thickness defect.
H16.071 should be used when there is a confirmed diagnosis of a perforated corneal ulcer in the right eye, distinguishing it from non-perforated ulcers or ulcers in the left eye.
Documentation should include a detailed history of the presenting symptoms, results from a comprehensive eye examination, any imaging or laboratory tests performed, and the treatment plan.
