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ICD-10 Guide
ICD-10 CodesH16.219

H16.219

Billable

Exposure keratoconjunctivitis, unspecified eye

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H16.219 is a billable code used to indicate a diagnosis of exposure keratoconjunctivitis, unspecified eye.

Key Diagnostic Point:

Exposure keratoconjunctivitis, unspecified eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Exposure keratoconjunctivitis can range from mild irritation to significant inflammation, requiring careful assessment and management. The complexity may increase based on the duration of symptoms and the presence of other ocular conditions.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Optometry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Coding Guidelines

Inclusion Criteria

Use H16.219 When
  • Ensure accurate documentation of symptoms, duration, and any previous treatments
  • Use H16
  • 219 specifically for unspecified eye exposure keratoconjunctivitis
  • If the condition is bilateral, consider using additional codes to specify both eyes

Exclusion Criteria

Do NOT use H16.219 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding affects patient management and treatment plans. Incorrect coding can lead to claim denials or delays in reimbursement. Proper documentation supports the medical necessity of services rendered.

ICD-9 vs ICD-10

Accurate coding affects patient management and treatment plans. Incorrect coding can lead to claim denials or delays in reimbursement. Proper documentation supports the medical necessity of services rendered.

Reimbursement & Billing Impact

reimbursement. Proper documentation supports the medical necessity of services rendered.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Keratoconjunctivitis
  • •
    American Optometric Association - Conjunctivitis
  • •
    National Eye Institute - Eye Health Information

Coding & Billing References

  • •
    American Academy of Ophthalmology - Keratoconjunctivitis
  • •
    American Optometric Association - Conjunctivitis
  • •
    National Eye Institute - Eye Health Information

Frequently Asked Questions

What are the common symptoms of exposure keratoconjunctivitis?

Common symptoms include redness, itching, tearing, and a gritty sensation in the eye. Patients may also experience sensitivity to light.

How is exposure keratoconjunctivitis treated?

Treatment typically involves avoiding the irritant, using lubricating eye drops, and in some cases, topical antihistamines or corticosteroids may be prescribed.

When should I seek medical attention for keratoconjunctivitis?

Seek medical attention if symptoms persist for more than a few days, worsen, or if you experience significant pain, vision changes, or discharge.