ICD-10 Coding for Anterior Uveitis(H20.01-, H20.1-, H20.03-)
Complete ICD-10-CM coding and documentation guide for Anterior Uveitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anterior Uveitis
H20.0-H20.9Primary Range
Disorders of the iris and ciliary body
This range includes all codes related to anterior uveitis, covering acute, chronic, and secondary forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H20.01- | Acute and subacute iridocyclitis | Use for acute presentations of anterior uveitis with sudden onset symptoms. |
|
| H20.1- | Chronic iridocyclitis | Use for chronic presentations with persistent symptoms. |
|
| H20.03- | Secondary iridocyclitis, infectious | Use when an infectious agent is confirmed as the cause. |
|
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 anterior uveitis
Essential facts and insights about Anterior Uveitis
Primary ICD-10-CM Codes for anterior uveitis
Decision Criteria
clinical Criteria
- Acute onset of symptoms with anterior chamber inflammation
Applicable To
- Acute iritis
- Acute iridocyclitis
Excludes
- Chronic iridocyclitis (H20.1-)
Clinical Validation Requirements
- Sudden onset of eye pain
- Photophobia
- Cells and flare in anterior chamber
Code-Specific Risks
- Ensure laterality is documented
- Avoid unspecified codes
Coding Notes
- Document acute symptoms and confirm diagnosis with slit-lamp examination.
H20.1- - Chronic iridocyclitis
Use for chronic presentations with persistent symptoms.
Applicable To
- Chronic iritis
- Chronic iridocyclitis
Excludes
- Acute iridocyclitis (H20.01-)
Clinical Validation Requirements
- Symptoms persisting over 3 months
- Presence of synechiae
Coding Notes
Ensure documentation of chronic symptoms and any complications.
H20.03- - Secondary iridocyclitis, infectious
Use when an infectious agent is confirmed as the cause.
Applicable To
- Infectious iridocyclitis
Excludes
- Noninfectious secondary iridocyclitis (H20.04-)
Clinical Validation Requirements
- PCR or antibody testing confirming infection
- Systemic infection evidence
Coding Notes
Document the infectious agent and confirm with lab tests.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Herpesviral iridocyclitis
B00.51Differential 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 Anterior Uveitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H20.01-.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Review patient history for symptom duration., Document persistence of symptoms over 3 months.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always document laterality and specific etiology when possible.
Impact
Using unspecified codes can lead to audits and denials.
Mitigation Strategy
Always document specific details such as 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 Anterior Uveitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anterior Uveitis
Use these documentation templates to ensure complete and accurate documentation for Anterior Uveitis. These templates include all required elements for proper coding and billing.
Acute Anterior Uveitis
Specialty: OphthalmologyRequired Elements
- Patient history
- Symptom onset
- Eye examination findings
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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