ICD-10 Coding for Allergic Conjunctivitis Bilateral(H10.13, H10.413)
Complete ICD-10-CM coding and documentation guide for Allergic Conjunctivitis Bilateral. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Allergic Conjunctivitis Bilateral
H10.1-H10.4Primary Range
Conjunctivitis codes, including allergic types
This range includes specific codes for different types of allergic conjunctivitis, including bilateral cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.13 | Acute atopic conjunctivitis, bilateral | Use for acute bilateral allergic conjunctivitis with confirmed atopic history. |
|
| H10.413 | Chronic giant papillary conjunctivitis, bilateral | Use for chronic bilateral conjunctivitis with giant papillae. |
|
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 bilateral allergic conjunctivitis
Essential facts and insights about Allergic Conjunctivitis Bilateral
Primary ICD-10-CM Codes for allergic conjunctivitis bilateral
Decision Criteria
clinical Criteria
- Acute onset with bilateral symptoms and positive allergen test.
documentation Criteria
- Detailed description of conjunctival findings and allergen exposure.
Applicable To
- Acute bilateral allergic conjunctivitis
Excludes
- Chronic allergic conjunctivitis (H10.413)
Clinical Validation Requirements
- Bilateral conjunctival injection
- Positive IgE test for allergens
- Acute onset with seasonal pattern
Code-Specific Risks
- Misclassification as unspecified conjunctivitis
- Failure to document bilateral involvement
Coding Notes
- Ensure documentation specifies bilateral involvement and acute nature.
H10.413 - Chronic giant papillary conjunctivitis, bilateral
Use for chronic bilateral conjunctivitis with giant papillae.
Applicable To
- Chronic bilateral allergic conjunctivitis with giant papillae
Excludes
- Acute allergic conjunctivitis (H10.13)
Clinical Validation Requirements
- Giant papillae on upper tarsal conjunctiva
- Chronic symptoms over 4 weeks
- Associated with contact lens use
Coding Notes
Document chronicity and presence of giant papillae.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Allergic Conjunctivitis Bilateral to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.13.
Impact
Clinical: Inaccurate diagnosis and treatment plan., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims.
Mitigation Strategy
Include allergen exposure in patient history, Use standardized templates for documentation
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Always specify laterality and type of conjunctivitis.
Impact
Using unspecified codes for bilateral conditions.
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 Allergic Conjunctivitis Bilateral, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Allergic Conjunctivitis Bilateral
Use these documentation templates to ensure complete and accurate documentation for Allergic Conjunctivitis Bilateral. These templates include all required elements for proper coding and billing.
Acute Bilateral Allergic Conjunctivitis
Specialty: OphthalmologyRequired Elements
- Chief complaint of bilateral itching
- Physical exam findings of conjunctival injection
- IgE test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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