ICD-10 Coding for Eye Infection(H10.011, B30.1)
Complete ICD-10-CM coding and documentation guide for Eye Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Infection
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.011 | Acute follicular conjunctivitis, right eye | Use when acute follicular conjunctivitis is confirmed in the right eye. |
|
| B30.1 | Keratoconjunctivitis due to adenovirus | Use when adenoviral conjunctivitis is confirmed. |
|
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 adenoviral conjunctivitis
Essential facts and insights about Eye Infection
Primary ICD-10-CM Codes for eye infection
Decision Criteria
clinical Criteria
- Document purulent discharge and follicular nodules.
Applicable To
- Acute follicular conjunctivitis with purulent discharge
Excludes
- Chronic follicular conjunctivitis (H10.44)
Clinical Validation Requirements
- Presence of follicular nodules
- Purulent discharge
Code-Specific Risks
- Incorrect laterality coding
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
B30.1 - Keratoconjunctivitis due to adenovirus
Use when adenoviral conjunctivitis is confirmed.
Applicable To
- Adenoviral conjunctivitis
Excludes
- Bacterial conjunctivitis (H10.0-)
Clinical Validation Requirements
- Positive adenovirus PCR test
Coding Notes
Ensure viral etiology is confirmed through testing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
COVID-19
U07.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eye Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.011.
Impact
Clinical: Leads to incorrect diagnosis and treatment., Regulatory: Increases risk of audit discrepancies., Financial: Potential for denied claims.
Mitigation Strategy
Include discharge type in all conjunctivitis cases.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always document and code the specific eye affected.
Impact
Coding without specifying the affected eye.
Mitigation Strategy
Always document and code the specific eye.
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 Eye Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Infection
Use these documentation templates to ensure complete and accurate documentation for Eye Infection. These templates include all required elements for proper coding and billing.
Acute conjunctivitis presentation
Specialty: OphthalmologyRequired Elements
- Laterality
- Type of discharge
- Duration
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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