ICD-10 Coding for Corneal Scar(H17.0, H17.1, H17.8)
Complete ICD-10-CM coding and documentation guide for Corneal Scar. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Corneal Scar
H17.0-H17.9Primary Range
Corneal scars and opacities
This range includes all codes related to corneal scars, specifying different types and locations of scars.
Injuries to the eye and orbit
Used for coding sequelae of eye injuries that result in corneal scars.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H17.0 | Adherent leukoma | Use when the corneal scar involves adhesion to the iris. |
|
| H17.1 | Central corneal opacity | Use for scars located centrally on the cornea. |
|
| H17.8 | Other corneal scars | Use for scars located peripherally on the cornea. |
|
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 corneal scar
Essential facts and insights about Corneal Scar
Primary ICD-10-CM Codes for corneal scar
Decision Criteria
clinical Criteria
- Presence of iris adhesion
Applicable To
- Corneal scar with iris adhesion
Excludes
- Corneal opacity due to other causes
Clinical Validation Requirements
- Slit lamp examination showing iris adhesion
- Anterior synechiae
Code-Specific Risks
- Misclassification if not properly documented
Coding Notes
- Ensure documentation specifies iris adhesion.
H17.1 - Central corneal opacity
Use for scars located centrally on the cornea.
Applicable To
- Central corneal scar
Excludes
- Peripheral corneal opacity
Clinical Validation Requirements
- Central stromal involvement on slit lamp exam
Coding Notes
Document the central location of the scar.
H17.8 - Other corneal scars
Use for scars located peripherally on the cornea.
Applicable To
- Peripheral corneal scar
Excludes
- Central corneal opacity
Clinical Validation Requirements
- Peripheral location confirmed by slit lamp
Coding Notes
Ensure documentation specifies peripheral location.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Corneal Scar to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H17.0.
Impact
Clinical: May affect treatment decisions, Regulatory: Increases audit risk, Financial: Potential for denied claims
Mitigation Strategy
Always include a detailed history of the scar's cause
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increased risk of audit due to unspecified coding., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the location and type of scar for accurate coding.
Impact
High audit risk when using unspecified codes without supporting documentation.
Mitigation Strategy
Provide detailed documentation of scar characteristics 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 Corneal Scar, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Corneal Scar
Use these documentation templates to ensure complete and accurate documentation for Corneal Scar. These templates include all required elements for proper coding and billing.
Central corneal scar due to herpes simplex keratitis
Specialty: OphthalmologyRequired Elements
- Location of scar
- Etiology
- Visual acuity impact
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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