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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.222

H16.222

Billable

Keratoconjunctivitis sicca, not specified as Sjögren's, left eye

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

Code Description

ICD-10 H16.222 is a billable code used to indicate a diagnosis of keratoconjunctivitis sicca, not specified as sjögren's, left eye.

Key Diagnostic Point:

Keratoconjunctivitis sicca, not specified as Sjögren's, left eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Keratoconjunctivitis sicca can range from mild discomfort to significant visual impairment, requiring careful assessment and management. The condition may involve multiple treatment modalities, including artificial tears, prescription medications, and lifestyle modifications.

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 H16.222 When
  • Ensure accurate documentation of symptoms, duration, and prior treatments
  • Differentiate between primary and secondary causes of dry eye, and specify the affected eye
  • Use additional codes if associated conditions are present

Exclusion Criteria

Do NOT use H16.222 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

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 of H16.222 ensures appropriate reimbursement for services rendered. Misclassification may lead to claim denials or underpayment. Proper documentation supports the medical necessity of treatments provided.

ICD-9 vs ICD-10

Accurate coding of H16.222 ensures appropriate reimbursement for services rendered. Misclassification may lead to claim denials or underpayment. Proper documentation supports the medical necessity of treatments provided.

Reimbursement & Billing Impact

reimbursement for services rendered. Misclassification may lead to claim denials or underpayment. Proper documentation supports the medical necessity of treatments provided.

Resources

Clinical References

  • •
    Keratoconjunctivitis Sicca: A Review
  • •
    Dry Eye Disease: A Comprehensive Review
  • •
    Management of Dry Eye Disease

Coding & Billing References

  • •
    Keratoconjunctivitis Sicca: A Review
  • •
    Dry Eye Disease: A Comprehensive Review
  • •
    Management of Dry Eye Disease

Frequently Asked Questions

What are the common symptoms of keratoconjunctivitis sicca?

Common symptoms include dryness, burning, itching, redness, and a gritty sensation in the eye.

How is keratoconjunctivitis sicca diagnosed?

Diagnosis typically involves a comprehensive eye examination, including tests to measure tear production and evaluate the surface of the eye.

What treatment options are available for keratoconjunctivitis sicca?

Treatment options include artificial tears, anti-inflammatory medications, punctal plugs, and lifestyle modifications to reduce symptoms.