ICD-10 Coding for Right Eye Redness(H10.011, H10.021)
Complete ICD-10-CM coding and documentation guide for Right Eye Redness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Eye Redness
H10.0-H10.9Primary Range
Conjunctivitis
This range includes various types of conjunctivitis, which are common causes of right eye redness.
Keratitis
Keratitis can present with redness and is important to differentiate from conjunctivitis.
Conjunctival Hemorrhage
Conjunctival hemorrhage can cause redness and should be considered if bleeding is present.
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 documentation specifies acute follicular conjunctivitis in the right eye. |
|
| H10.021 | Acute mucopurulent conjunctivitis, right eye | Use when bacterial conjunctivitis is confirmed with purulent discharge in the right eye. |
|
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 right eye redness
Essential facts and insights about Right Eye Redness
Primary ICD-10-CM Codes for right eye redness
Decision Criteria
clinical Criteria
- Presence of follicles and unilateral redness
Applicable To
- Follicular conjunctivitis due to viral or medication etiology
Excludes
- Bacterial conjunctivitis
- Allergic conjunctivitis
Clinical Validation Requirements
- Follicles on palpebral conjunctiva
- Unilateral redness
Code-Specific Risks
- Misidentifying bacterial conjunctivitis as follicular
Coding Notes
- Ensure laterality is documented as right eye.
H10.021 - Acute mucopurulent conjunctivitis, right eye
Use when bacterial conjunctivitis is confirmed with purulent discharge in the right eye.
Applicable To
- Bacterial conjunctivitis with purulent discharge
Excludes
- Viral conjunctivitis
- Allergic conjunctivitis
Clinical Validation Requirements
- Purulent discharge
- Bacterial confirmation via Gram stain
Coding Notes
Document purulent discharge and bacterial etiology.
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 Right 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: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the presence and type of discharge.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the type of conjunctivitis and laterality.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure detailed documentation of clinical findings.
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 Right Eye Redness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Eye Redness
Use these documentation templates to ensure complete and accurate documentation for Right Eye Redness. These templates include all required elements for proper coding and billing.
Acute conjunctivitis presentation
Specialty: OphthalmologyRequired Elements
- Chief complaint
- History of present illness
- Review of systems
- Physical exam findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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