ICD-10 Coding for Eye Itching(H10.13, H10.453)
Complete ICD-10-CM coding and documentation guide for Eye Itching. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Itching
H10.0-H10.9Primary Range
Conjunctivitis
This range includes various types of conjunctivitis, which are common causes of eye itching.
Eye pain
This code is used for eye pain, which can be associated with itching but is not the primary focus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.13 | Acute atopic conjunctivitis, bilateral | Use when acute allergic conjunctivitis is confirmed and affects both eyes. |
|
| H10.453 | Chronic allergic conjunctivitis, bilateral | Use for chronic cases where symptoms persist beyond six weeks. |
|
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 chronic allergic conjunctivitis
Essential facts and insights about Eye Itching
Primary ICD-10-CM Codes for eye itching
Decision Criteria
clinical Criteria
- Presence of bilateral itching and seasonal allergen exposure.
Applicable To
- Bilateral acute allergic conjunctivitis
Excludes
- Chronic allergic conjunctivitis (H10.45)
Clinical Validation Requirements
- Bilateral eye itching with seasonal allergen exposure
- Conjunctival hyperemia
Code-Specific Risks
- Ensure laterality is documented to avoid unspecified coding.
Coding Notes
- Ensure to document allergen exposure and confirmatory tests.
H10.453 - Chronic allergic conjunctivitis, bilateral
Use for chronic cases where symptoms persist beyond six weeks.
Applicable To
- Year-round ocular pruritus unresponsive to antihistamines
Excludes
- Acute allergic conjunctivitis (H10.13)
Clinical Validation Requirements
- Year-round ocular pruritus
- Papillary hypertrophy
Coding Notes
Document chronicity and response to treatment.
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 Eye Itching to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.13.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Increases audit risk., Financial: May result in denied claims.
Mitigation Strategy
Always document specific allergens and test results., Use templates to ensure comprehensive documentation.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of healthcare data.
Mitigation Strategy
Query provider to specify acute/chronic and etiology.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Implement regular training for coding staff on specificity requirements.
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 Itching, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Itching
Use these documentation templates to ensure complete and accurate documentation for Eye Itching. These templates include all required elements for proper coding and billing.
Chronic allergic conjunctivitis with secondary dry eye
Specialty: OphthalmologyRequired Elements
- Location: Conjunctiva bilateral
- Onset: Chronic (>6 weeks)
- Character: Itching worsens with pet exposure
- Associated Findings: Papillary hypertrophy, Corneal punctate erosions
- Testing: Serum IgE 300 IU/mL, eosinophils+ on conjunctival scraping
- Impression: Chronic allergic conjunctivitis with secondary dry eye
- Plan: Mast cell stabilizers, avoid allergens
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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