ICD-10 Coding for Subconjunctival Hematoma(H11.31, H11.32, H11.33, H11.30)
Complete ICD-10-CM coding and documentation guide for Subconjunctival Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subconjunctival Hematoma
H11.3Primary Range
Subconjunctival hemorrhage
This range covers the primary codes for subconjunctival hemorrhage, specifying laterality and bilateral involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H11.31 | Subconjunctival hemorrhage, right eye | Use when the hemorrhage is confined to the right eye. |
|
| H11.32 | Subconjunctival hemorrhage, left eye | Use when the hemorrhage is confined to the left eye. |
|
| H11.33 | Subconjunctival hemorrhage, bilateral | Use when hemorrhage is present in both eyes. |
|
| H11.30 | Subconjunctival hemorrhage, unspecified eye | Use when laterality cannot be determined. |
|
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 subconjunctival hematoma
Essential facts and insights about Subconjunctival Hematoma
Primary ICD-10-CM Codes for subconjunctival hematoma
Decision Criteria
clinical Criteria
- Hemorrhage confined to right eye
Applicable To
- Right eye subconjunctival hemorrhage
Excludes
- Keratoconjunctivitis (H16.2)
Clinical Validation Requirements
- Slit lamp documentation of hemorrhage confined to conjunctiva OD
Code-Specific Risks
- Incorrectly using when laterality is unspecified.
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
H11.32 - Subconjunctival hemorrhage, left eye
Use when the hemorrhage is confined to the left eye.
Applicable To
- Left eye subconjunctival hemorrhage
Excludes
- Keratoconjunctivitis (H16.2)
Clinical Validation Requirements
- Slit lamp documentation of hemorrhage confined to conjunctiva OS
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H11.33 - Subconjunctival hemorrhage, bilateral
Use when hemorrhage is present in both eyes.
Applicable To
- Bilateral subconjunctival hemorrhage
Excludes
- Keratoconjunctivitis (H16.2)
Clinical Validation Requirements
- Bilateral presentation of subconjunctival hemorrhage
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
H11.30 - Subconjunctival hemorrhage, unspecified eye
Use when laterality cannot be determined.
Applicable To
- Unspecified eye subconjunctival hemorrhage
Excludes
- Keratoconjunctivitis (H16.2)
Clinical Validation Requirements
- Documentation does not specify laterality
Coding Notes
Avoid use when laterality is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term anticoagulant use
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Spontaneous ecchymosis
R23.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Subconjunctival Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H11.31.
Impact
Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on importance of laterality., Use templates that prompt for laterality.
Impact
Reimbursement: May result in incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure laterality is specified and use H11.31, H11.32, or H11.33 as appropriate.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory fields for laterality in EMR 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 Subconjunctival Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subconjunctival Hematoma
Use these documentation templates to ensure complete and accurate documentation for Subconjunctival Hematoma. These templates include all required elements for proper coding and billing.
Subconjunctival hemorrhage due to trauma
Specialty: OphthalmologyRequired Elements
- Laterality
- Cause of hemorrhage
- Extent and location of hemorrhage
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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