ICD-10 Coding for Iritis(H20.011, H44.121)
Complete ICD-10-CM coding and documentation guide for Iritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Iritis
H20.0-H20.9Primary Range
Iritis and other forms of anterior uveitis
This range includes codes for various forms of iritis, including acute, recurrent, and chronic types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H20.011 | Acute iritis, right eye | Use for acute iritis affecting the right eye with no underlying systemic condition. |
|
| H44.121 | Traumatic iridocyclitis, right eye | Use for iritis resulting from trauma to the right eye. |
|
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 acute iritis
Essential facts and insights about Iritis
Primary ICD-10-CM Codes for iritis
Decision Criteria
clinical Criteria
- Acute onset with anterior chamber inflammation
Applicable To
- Acute inflammation of the iris
Excludes
- Chronic iritis
- Recurrent iritis
Clinical Validation Requirements
- Presence of cells and flare in the anterior chamber
- Acute onset of symptoms
Code-Specific Risks
- Ensure laterality is documented correctly to avoid errors.
Coding Notes
- Ensure documentation specifies laterality and acute nature.
H44.121 - Traumatic iridocyclitis, right eye
Use for iritis resulting from trauma to the right eye.
Applicable To
- Iritis due to trauma
Excludes
- Non-traumatic iritis
Clinical Validation Requirements
- History of ocular trauma
- Clinical findings consistent with iritis
Coding Notes
Document the traumatic event and specific findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Herpesviral iridocyclitis
B00.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Iritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H20.011.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the etiology if known., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Always document and code the specific type and laterality of iritis.
Impact
High risk of audit when using unspecified codes without proper documentation.
Mitigation Strategy
Ensure all documentation is specific and complete.
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 Iritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Iritis
Use these documentation templates to ensure complete and accurate documentation for Iritis. These templates include all required elements for proper coding and billing.
Acute Iritis Documentation
Specialty: OphthalmologyRequired Elements
- Laterality
- Temporal pattern
- Etiology
- Clinical findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Iritis? Ask your questions below.