ICD-10 Coding for Hordeolum(H00.01X, H00.02X)
Complete ICD-10-CM coding and documentation guide for Hordeolum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hordeolum
H00.0Primary Range
Hordeolum and other deep inflammation of eyelid
This range includes codes for different types of hordeolum, specifying laterality and location.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H00.01X | Hordeolum externum | Use for acute stye at eyelash follicle with visible pustule. |
|
| H00.02X | Hordeolum internum | Use for meibomian gland infection with palpebral conjunctival swelling. |
|
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 hordeolum
Essential facts and insights about Hordeolum
Primary ICD-10-CM Codes for hordeolum
Decision Criteria
clinical Criteria
- Presence of a pustule at the eyelash follicle
documentation Criteria
- Specify laterality and location
Applicable To
- Stye at eyelash follicle
Excludes
- Chalazion (H00.1X)
Clinical Validation Requirements
- Visible pustule at eyelash follicle
- Localized erythema and swelling
Code-Specific Risks
- Risk of unspecified laterality leading to queries.
Coding Notes
- Ensure documentation specifies laterality and location.
H00.02X - Hordeolum internum
Use for meibomian gland infection with palpebral conjunctival swelling.
Applicable To
- Meibomian gland infection
Excludes
- Chalazion (H00.1X)
Clinical Validation Requirements
- Tenderness on palpation
- Palpebral conjunctival swelling
Coding Notes
Ensure documentation specifies laterality and location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bacterial agents as the cause of diseases classified elsewhere
B95-B96Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chalazion
H00.1XDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hordeolum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H00.01X.
Impact
Clinical: Inaccurate diagnosis recording., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use standardized templates., Educate staff on documentation importance.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and billing purposes.
Mitigation Strategy
Always specify right/left and upper/lower eyelid.
Impact
Claims may be audited for unspecified laterality.
Mitigation Strategy
Ensure all documentation includes 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 Hordeolum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hordeolum
Use these documentation templates to ensure complete and accurate documentation for Hordeolum. These templates include all required elements for proper coding and billing.
Acute Hordeolum Externum
Specialty: OphthalmologyRequired Elements
- Location
- Laterality
- Symptoms
- Treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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