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v1.0.0
ICD-10 Guide
ICD-10 CodesH16.319

H16.319

Billable

Corneal abscess, unspecified eye

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

Code Description

ICD-10 H16.319 is a billable code used to indicate a diagnosis of corneal abscess, unspecified eye.

Key Diagnostic Point:

Corneal abscess, unspecified eye

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity
Corneal abscesses can vary in complexity based on the underlying cause, presence of systemic disease, and the patient's overall health. Management may require both medical and surgical interventions, which can complicate treatment plans.

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 H16.319 When
  • When coding for a corneal abscess, ensure accurate documentation of the eye affected and any associated conditions
  • Include details about the onset, symptoms, and any treatments provided
  • If the abscess is due to a specific cause (e
  • , bacterial, fungal), it should be documented to support the diagnosis

Exclusion Criteria

Do NOT use H16.319 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 corneal abscesses is crucial for appropriate reimbursement and to reflect the severity of the condition in clinical records. Misclassification can lead to denied claims or inadequate treatment plans.

ICD-9 vs ICD-10

Accurate coding of corneal abscesses is crucial for appropriate reimbursement and to reflect the severity of the condition in clinical records. Misclassification can lead to denied claims or inadequate treatment plans.

Reimbursement & Billing Impact

reimbursement and to reflect the severity of the condition in clinical records. Misclassification can lead to denied claims or inadequate treatment plans.

Resources

Clinical References

  • •
    Corneal Ulcers and Abscesses
  • •
    Clinical Guidelines for the Management of Corneal Infections
  • •
    Understanding Corneal Abscesses

Coding & Billing References

  • •
    Corneal Ulcers and Abscesses
  • •
    Clinical Guidelines for the Management of Corneal Infections
  • •
    Understanding Corneal Abscesses

Frequently Asked Questions

What are the common symptoms of a corneal abscess?

Common symptoms include eye pain, redness, blurred vision, tearing, and sensitivity to light. Patients may also experience discharge from the eye.

How is a corneal abscess treated?

Treatment may involve antibiotic or antifungal medications, and in some cases, surgical intervention such as drainage or corneal transplant may be necessary.

Can a corneal abscess lead to vision loss?

Yes, if not treated promptly and effectively, a corneal abscess can lead to significant vision loss or even blindness.