ICD-10 Coding for Conjunctivitis(H10.013, B30.1)
Complete ICD-10-CM coding and documentation guide for Conjunctivitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Conjunctivitis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.013 | Acute follicular conjunctivitis, bilateral | Use when acute follicular conjunctivitis is confirmed in both eyes. |
|
| B30.1 | Conjunctivitis due to adenovirus | Use when adenoviral conjunctivitis is confirmed by laboratory testing. |
|
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 viral conjunctivitis
Essential facts and insights about Conjunctivitis
Primary ICD-10-CM Codes for conjunctivitis
Decision Criteria
clinical Criteria
- Bilateral follicular nodules present
Applicable To
- Acute follicular conjunctivitis affecting both eyes
Excludes
- Viral conjunctivitis (B30.-)
Clinical Validation Requirements
- Presence of dome-shaped nodules on conjunctiva
- Bilateral eye involvement
Code-Specific Risks
- Misclassification if laterality is not specified
Coding Notes
- Ensure documentation specifies bilateral involvement and follicular nature.
B30.1 - Conjunctivitis due to adenovirus
Use when adenoviral conjunctivitis is confirmed by laboratory testing.
Applicable To
- Adenoviral conjunctivitis
Excludes
- Bacterial conjunctivitis (H10.0-)
Clinical Validation Requirements
- Positive PCR for adenovirus
- Watery discharge and preauricular lymphadenopathy
Coding Notes
Document viral confirmation and symptoms clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Conjunctivitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.013.
Impact
Clinical: May lead to inappropriate treatment if laterality affects management., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims due to unspecified coding.
Mitigation Strategy
Always include laterality in documentation, Use templates that prompt for laterality
Impact
Reimbursement: May result in lower reimbursement due to unspecified coding., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Query for specific etiology and laterality to use a more specific code.
Impact
High risk of audit if unspecified codes are used frequently.
Mitigation Strategy
Ensure documentation supports specific coding by confirming etiology and laterality.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Conjunctivitis
Use these documentation templates to ensure complete and accurate documentation for Conjunctivitis. These templates include all required elements for proper coding and billing.
Acute bacterial conjunctivitis
Specialty: OphthalmologyRequired Elements
- Onset and duration
- Type of discharge
- Laterality
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Conjunctivitis? Ask your questions below.