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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.269

H16.269

Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye

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

Code Description

ICD-10 H16.269 is a billable code used to indicate a diagnosis of vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye.

Key Diagnostic Point:

Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Moderate clinical complexity due to potential for chronic symptoms and the need for ongoing management and monitoring.

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 H16.269 When
  • ["Ensure accurate documentation of symptoms and clinical findings related to vernal keratoconjunctivitis
  • ","Specify the eye involved when applicable, noting if bilateral involvement occurs
  • ","Document any associated conditions or complications to support the diagnosis

Exclusion Criteria

Do NOT use H16.269 When
No specific exclusions found.

Related ICD-10 Codes

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CPT Code

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Accurate coding impacts patient management and treatment plans, as well as reimbursement rates for ophthalmology services. Misclassification may lead to denied claims or inappropriate treatment approaches.

ICD-9 vs ICD-10

Accurate coding impacts patient management and treatment plans, as well as reimbursement rates for ophthalmology services. Misclassification may lead to denied claims or inappropriate treatment approaches.

Reimbursement & Billing Impact

reimbursement rates for ophthalmology services. Misclassification may lead to denied claims or inappropriate treatment approaches.

Resources

Clinical References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Management of Vernal Keratoconjunctivitis
  • •
    Clinical Practice Guidelines for Allergic Conjunctivitis

Coding & Billing References

  • •
    Vernal Keratoconjunctivitis Overview
  • •
    Management of Vernal Keratoconjunctivitis
  • •
    Clinical Practice Guidelines for Allergic Conjunctivitis

Frequently Asked Questions

What are the common symptoms of vernal keratoconjunctivitis?

Common symptoms include itching, redness, tearing, and discharge from the eye, often exacerbated by exposure to allergens.

How is vernal keratoconjunctivitis treated?

Treatment options may include antihistamines, mast cell stabilizers, and corticosteroids, depending on the severity of the condition.

Can vernal keratoconjunctivitis affect vision?

Yes, if left untreated, it can lead to complications such as corneal scarring, which may affect vision.