ICD-10 Coding for Eye Disorders(H10.01, H35.711)
Complete ICD-10-CM coding and documentation guide for Eye Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Disorders
H00-H59Primary Range
Diseases of the eye and adnexa
This range includes all conditions related to the eye and its supporting structures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.01 | Acute follicular conjunctivitis | Use when acute follicular conjunctivitis is confirmed with clinical findings. |
|
| H35.711 | Central serous chorioretinopathy, right eye | Use when CSR is confirmed with OCT findings. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute follicular conjunctivitis
Essential facts and insights about Eye Disorders
Primary ICD-10-CM Codes for eye disorder
Decision Criteria
clinical Criteria
- Presence of acute symptoms and follicular pattern
Applicable To
- Acute follicular conjunctivitis
Excludes
- Chronic conjunctivitis (H10.4-)
Clinical Validation Requirements
- Presence of follicles on conjunctival examination
- Mucopurulent discharge
Code-Specific Risks
- Misclassification with chronic conjunctivitis
Coding Notes
- Ensure laterality is documented.
H35.711 - Central serous chorioretinopathy, right eye
Use when CSR is confirmed with OCT findings.
Applicable To
- Central serous retinopathy
Excludes
- Other retinal disorders (H35.8-)
Clinical Validation Requirements
- OCT showing subretinal fluid
- Absence of drusen
Coding Notes
Ensure laterality is documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eye Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.01.
Impact
Clinical: Inadequate patient care, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Ensure all test results are included in the patient record, Use standardized templates for documentation
Impact
Reimbursement: Potential claim denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records
Mitigation Strategy
Always document and code for laterality.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Eye Disorders, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Disorders
Use these documentation templates to ensure complete and accurate documentation for Eye Disorders. These templates include all required elements for proper coding and billing.
Acute Conjunctivitis Evaluation
Specialty: OphthalmologyRequired Elements
- Chief complaint
- History of present illness
- Examination findings
- Diagnosis
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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