ICD-10 Coding for Pink Eye(H10.013, B30.2)
Complete ICD-10-CM coding and documentation guide for Pink Eye. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pink Eye
H10.0-H10.4Primary Range
Acute and chronic conjunctivitis
This range covers various types of conjunctivitis including bacterial, viral, and allergic forms.
Viral conjunctivitis
This range is used for viral causes of conjunctivitis, such as adenoviral conjunctivitis.
Neonatal conjunctivitis
This code is used for conjunctivitis occurring in neonates, often related to maternal infections.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.013 | Acute follicular conjunctivitis, bilateral | Use when acute follicular conjunctivitis is confirmed bilaterally. |
|
| B30.2 | Viral conjunctivitis | Use when viral etiology is confirmed, especially adenovirus. |
|
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 pink eye
Essential facts and insights about Pink Eye
Primary ICD-10-CM Codes for pink eye
Decision Criteria
clinical Criteria
- Bilateral follicular response observed
Applicable To
- Bilateral acute follicular conjunctivitis
Excludes
- Chronic follicular conjunctivitis
Clinical Validation Requirements
- Presence of follicles on conjunctiva
- Bilateral presentation
Code-Specific Risks
- Incorrectly coding as unspecified conjunctivitis
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
B30.2 - Viral conjunctivitis
Use when viral etiology is confirmed, especially adenovirus.
Applicable To
- Adenoviral conjunctivitis
Excludes
- Bacterial conjunctivitis
Clinical Validation Requirements
- PCR positive for adenovirus
- Watery discharge
Coding Notes
Document viral confirmation to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resistance to methicillin
Z16.12Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pink Eye to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.013.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Increases risk of non-compliance with coding standards., Financial: May result in denied claims or reduced reimbursement.
Mitigation Strategy
Ensure thorough history taking and testing, Use specific terminology in documentation
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies laterality and etiology.
Impact
High risk of audit when using unspecified codes without justification.
Mitigation Strategy
Ensure all clinical documentation specifies laterality and etiology.
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 Pink Eye, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pink Eye
Use these documentation templates to ensure complete and accurate documentation for Pink Eye. These templates include all required elements for proper coding and billing.
Acute conjunctivitis presentation
Specialty: OphthalmologyRequired Elements
- Laterality
- Discharge type
- Duration
- Testing results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Pink Eye? Ask your questions below.