ICD-10 Coding for Eye Redness(H10.011, H57.89)
Complete ICD-10-CM coding and documentation guide for Eye Redness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Redness
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.011 | Acute follicular conjunctivitis, right eye | Use when acute follicular conjunctivitis is diagnosed in the right eye. |
|
| H57.89 | Other specified disorders of eye and adnexa | Use when eye redness is present but no specific diagnosis is made. |
|
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 eye redness
Essential facts and insights about Eye Redness
Primary ICD-10-CM Codes for eye redness
Decision Criteria
clinical Criteria
- Presence of follicles and acute symptoms
documentation Criteria
- Document laterality and type of conjunctivitis
Applicable To
- Acute follicular conjunctivitis OD
Excludes
- Chronic follicular conjunctivitis (H10.211)
Clinical Validation Requirements
- Presence of follicles on conjunctival exam
- Acute onset of symptoms
Code-Specific Risks
- Misclassification if laterality is not documented
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
H57.89 - Other specified disorders of eye and adnexa
Use when eye redness is present but no specific diagnosis is made.
Applicable To
- Red eye, unspecified
Excludes
- Specific types of conjunctivitis (H10.x)
Clinical Validation Requirements
- General redness without specific diagnosis
Coding Notes
Avoid using if a more specific code is applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Eye pain
H57.1Differential 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 Redness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.011.
Impact
Clinical: Inaccurate diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for discharge type.
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation Strategy
Use specific conjunctivitis codes like H10.011 or H10.021 when applicable.
Impact
Using unspecified codes when specific codes are applicable.
Mitigation Strategy
Implement training on specific conjunctivitis codes.
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 Redness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Redness
Use these documentation templates to ensure complete and accurate documentation for Eye Redness. These templates include all required elements for proper coding and billing.
Acute conjunctivitis evaluation
Specialty: OphthalmologyRequired Elements
- Patient history
- Visual acuity
- Slit lamp examination
- Discharge type
- Pain assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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