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ICD-10 Coding for Conjunctivitis Right Eye(H10.011, H10.31, B30.1)

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

Also known as:

Pink Eye Right EyeOcular Conjunctivitis Right Eye

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Related ICD-10 Code Ranges

Complete code families applicable to Conjunctivitis Right Eye

H10.0-H10.9Primary Range

Conjunctivitis

This range includes all types of conjunctivitis, specifying laterality and etiology.

B30.0-B30.9

Viral Conjunctivitis

This range is used for viral causes of conjunctivitis, often requiring lab confirmation.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
H10.011Acute follicular conjunctivitis, right eyeUse when acute follicular nodules are documented in the right eye.
  • Presence of follicular nodules
  • Acute onset
  • Right eye involvement
H10.31Unspecified acute conjunctivitis, right eyeUse when conjunctivitis is documented without specific details.
  • Redness and discharge in the right eye
  • No specific etiology documented
B30.1Keratoconjunctivitis due to adenovirusUse when adenovirus is confirmed as the cause.
  • Positive adenovirus test
  • Watery discharge
  • Preauricular lymphadenopathy

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 conjunctivitis right eye

Essential facts and insights about Conjunctivitis Right Eye

The ICD-10 code for unspecified acute conjunctivitis in the right eye is H10.31. For acute follicular conjunctivitis, use H10.011.

Primary ICD-10-CM Codes for conjunctivitis right eye

H10.011
Acute follicular conjunctivitis, right eye
Billable Code

Decision Criteria

clinical Criteria

  • Presence of follicular nodules in the right eye

Applicable To

  • Acute follicular conjunctivitis with nodules

Excludes

  • Chronic follicular conjunctivitis

Clinical Validation Requirements

  • Presence of follicular nodules
  • Acute onset
  • Right eye involvement

Code-Specific Risks

  • Misclassification if nodules are not documented

Coding Notes

  • Ensure documentation specifies follicular morphology.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Staphylococcus as the cause of diseases classified elsewhere

B96.2
Use if bacterial culture confirms Staphylococcus.

Differential Codes

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

Unspecified acute conjunctivitis, right eye

H10.31
Use when specific morphology or etiology is not documented.

Acute follicular conjunctivitis, right eye

H10.011
Use if follicular nodules are documented.

Mucopurulent conjunctivitis, right eye

H10.021
Use if discharge is purulent and bacterial culture is positive.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Conjunctivitis Right Eye to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.011.

Impact

Clinical: Ambiguity in treatment focus, Regulatory: Non-compliance with ICD-10 requirements, Financial: Potential for claim denial

Mitigation Strategy

Always specify 'right eye' or 'left eye' in notes, Use templates that prompt for laterality

Impact

Reimbursement: May lead to claim denial or reduced payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation includes description of follicular nodules.

Impact

Reimbursement: Potential for claim rejection., Compliance: Violation of coding standards., Data Quality: Misleading epidemiological data.

Mitigation Strategy

Confirm adenovirus presence with lab tests before coding.

Impact

Audits may focus on the specificity of conjunctivitis codes used.

Mitigation Strategy

Ensure detailed documentation of symptoms and lab results.

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 Conjunctivitis Right Eye, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Conjunctivitis Right Eye

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

Acute conjunctivitis in the right eye

Specialty: Ophthalmology

Required Elements

  • Onset and duration of symptoms
  • Type of discharge
  • Presence of nodules or papillae
  • Lab test results

Example Documentation

Patient presents with 3-day history of right eye redness and watery discharge. Examination reveals follicular nodules. Adenovirus test positive.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has conjunctivitis in right eye.
Good Documentation Example
Patient presents with acute follicular conjunctivitis in the right eye, confirmed by adenovirus test.
Explanation
The good example provides specific morphology and lab confirmation, supporting accurate coding.

Need help with ICD-10 coding for Conjunctivitis Right Eye? Ask your questions below.

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