ICD-10 Coding for Eye Itch(H10.11, H10.13, H57.1)
Complete ICD-10-CM coding and documentation guide for Eye Itch. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Itch
H10.1-H10.4Primary Range
Conjunctivitis due to allergens
This range covers allergic conjunctivitis, which is a common cause of eye itch.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.11 | Acute atopic conjunctivitis, right eye | Use for acute allergic reactions affecting the right eye. |
|
| H10.13 | Acute atopic conjunctivitis, bilateral | Use for acute allergic reactions affecting both eyes. |
|
| H57.1 | Ocular pain, unspecified | Use when eye itch is accompanied by non-specific pain and no definitive diagnosis is available. |
|
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 eye itch
Essential facts and insights about Eye Itch
Primary ICD-10-CM Codes for eye itch
Decision Criteria
clinical Criteria
- Acute onset of symptoms with positive allergy test.
Applicable To
- Acute allergic conjunctivitis
Excludes
- Chronic allergic conjunctivitis (H10.45)
Clinical Validation Requirements
- Presence of itching and redness
- Positive allergy test
Code-Specific Risks
- Incorrect laterality can lead to denials.
Coding Notes
- Ensure laterality is documented.
H10.13 - Acute atopic conjunctivitis, bilateral
Use for acute allergic reactions affecting both eyes.
Applicable To
- Bilateral allergic conjunctivitis
Excludes
- Chronic allergic conjunctivitis (H10.45)
Clinical Validation Requirements
- Bilateral itching and redness
- Positive allergy test
Coding Notes
Ensure bilateral involvement is documented.
H57.1 - Ocular pain, unspecified
Use when eye itch is accompanied by non-specific pain and no definitive diagnosis is available.
Applicable To
- Eye discomfort
Excludes
- Specific types of conjunctivitis
Clinical Validation Requirements
- Documented ocular discomfort without specific diagnosis.
Coding Notes
Use as a last resort when no specific diagnosis is available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to environmental pollution and other contaminants
Z77.22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eye Itch to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.11.
Impact
Clinical: Inaccurate diagnosis recording., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always include laterality in documentation.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider for specific diagnosis and laterality.
Impact
High risk of audits when unspecified codes are used frequently.
Mitigation Strategy
Ensure specific diagnosis and laterality are documented.
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 Itch, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Itch
Use these documentation templates to ensure complete and accurate documentation for Eye Itch. These templates include all required elements for proper coding and billing.
Acute allergic conjunctivitis
Specialty: OphthalmologyRequired Elements
- Laterality
- Duration
- Clinical findings
- Allergy test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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