Perforated corneal ulcer, unspecified eye
ICD-10 H16.079 is a billable code used to indicate a diagnosis of perforated corneal ulcer, unspecified eye.
A perforated corneal ulcer is a serious ocular condition characterized by the presence of a defect in the corneal epithelium and stroma that extends through to the anterior chamber of the eye, leading to potential vision loss and intraocular infection. The cornea, which is the transparent front part of the eye, plays a crucial role in focusing light. When an ulcer perforates, it can result in the leakage of aqueous humor and exposure of intraocular structures, increasing the risk of endophthalmitis. Clinical presentation may include severe pain, redness, photophobia, and decreased visual acuity. The condition can arise from various etiologies, including infectious agents (bacterial, viral, fungal), chemical burns, or trauma. Diagnosis typically involves a comprehensive eye examination, including slit-lamp evaluation and possibly corneal cultures. Timely intervention is critical to prevent complications such as scarring or loss of the eye. Treatment may involve topical antibiotics, surgical repair, or corneal transplantation, depending on the severity and underlying cause of the ulcer.
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
H16.079 covers perforated corneal ulcers of unspecified eye, which may result from infections, trauma, or other corneal diseases. It is essential to differentiate it from non-perforated ulcers and specify the cause when possible.
H16.079 should be used when the corneal ulcer is confirmed to be perforated and the specific eye is not identified. If the eye is specified or if the ulcer is non-perforated, other codes should be considered.
Documentation should include a detailed clinical examination, imaging results, treatment plans, and any relevant history of trauma or infection. Clear notes on the perforation and its implications for treatment are essential.
