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ICD-10 Coding for Blepharoconjunctivitis(H10.50, H10.51, H10.52, H10.53, B95.8)

Complete ICD-10-CM coding and documentation guide for Blepharoconjunctivitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Eyelid and conjunctival inflammationLigneous conjunctivitisAngular blepharoconjunctivitis

Related ICD-10 Code Ranges

Complete code families applicable to Blepharoconjunctivitis

H10.5Primary Range

Blepharoconjunctivitis

This range covers all forms of blepharoconjunctivitis, including specific types like ligneous, angular, and contact.

Bacterial and viral infectious agents

These codes are used to identify the infectious agents causing blepharoconjunctivitis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
H10.50Unspecified blepharoconjunctivitisUse when the type of blepharoconjunctivitis is not specified.
  • Documentation of eyelid and conjunctival inflammation
H10.51Ligneous conjunctivitisUse when ligneous conjunctivitis is documented.
  • Presence of pseudomembrane formation
H10.52Angular blepharoconjunctivitisUse when angular inflammation is documented with positive culture.
  • Culture positive for Moraxella
H10.53Contact blepharoconjunctivitisUse when contact lens use or allergen exposure is documented.
  • Positive patch test or history of contact lens use
B95.8Unspecified staphylococcus as the cause of diseases classified elsewhereUse when a bacterial cause is confirmed.
  • Positive bacterial culture for Staphylococcus

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 blepharoconjunctivitis

Essential facts and insights about Blepharoconjunctivitis

The ICD-10 code for blepharoconjunctivitis is H10.5x, with specific codes for types like ligneous (H10.51), angular (H10.52), and contact (H10.53).

Primary ICD-10-CM Codes for blepharoconjunctivitis

Unspecified blepharoconjunctivitis
Non-billable Code

Decision Criteria

documentation Criteria

  • Lack of specific type or laterality in documentation.

Applicable To

  • General blepharoconjunctivitis without specification

Excludes

  • Blepharitis without conjunctivitis (H01.00x)

Clinical Validation Requirements

  • Documentation of eyelid and conjunctival inflammation

Code-Specific Risks

  • Risk of audit if more specific information is available but not used.

Coding Notes

  • Ensure documentation specifies the type and laterality if known.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Blepharitis

H01.00x
Use when only the eyelid is inflamed without conjunctival involvement.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Blepharoconjunctivitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.50.

Impact

Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.

Mitigation Strategy

Always document culture results., Ensure lab reports are included in the patient's record.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of healthcare data.

Mitigation Strategy

Always use the most specific code available based on documentation.

Impact

Reimbursement: Incorrect sequencing can affect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of clinical scenario.

Mitigation Strategy

Sequence the causative organism code before the blepharoconjunctivitis code.

Impact

High audit risk when unspecified codes are used despite available specific information.

Mitigation Strategy

Ensure documentation supports the most specific code possible.

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 Blepharoconjunctivitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Blepharoconjunctivitis

Use these documentation templates to ensure complete and accurate documentation for Blepharoconjunctivitis. These templates include all required elements for proper coding and billing.

Bacterial blepharoconjunctivitis

Specialty: Ophthalmology

Required Elements

  • Chief complaint
  • Exam findings
  • Testing results
  • Assessment and plan

Example Documentation

**CC**: Itchy, swollen eyelids OU x 5 days **Exam**: - Lids: Telangiectasia, collarettes OU - Conjunctiva: 2+ injection, papillae inferior palpebral OU - Cornea: Clear **Testing**: Lid margin swab → *Staphylococcus aureus* (+) **Assessment**: Blepharoconjunctivitis, bacterial, bilateral (H10.53) **Plan**: Erythromycin ointment BID x 10 days

Examples: Poor vs. Good Documentation

Poor Documentation Example
Eye redness and irritation.
Good Documentation Example
Bilateral lid margin telangiectasia, collarettes, and moderate conjunctival injection.
Explanation
The good example provides specific findings that support the diagnosis and coding.

Need help with ICD-10 coding for Blepharoconjunctivitis? Ask your questions below.

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