ICD-10 Coding for Lagophthalmos(H02.21-, H02.22-, H02.23-)
Complete ICD-10-CM coding and documentation guide for Lagophthalmos. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lagophthalmos
H02.2-Primary Range
Lagophthalmos
This range includes all types of lagophthalmos, categorized by etiology and laterality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H02.21- | Cicatricial lagophthalmos | Use when lagophthalmos is due to cicatricial changes, such as post-surgical scarring. |
|
| H02.22- | Mechanical lagophthalmos | Use when lagophthalmos is due to mechanical factors like ectropion. |
|
| H02.23- | Paralytic lagophthalmos | Use when lagophthalmos is due to paralysis, such as Bell's palsy. |
|
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 lagophthalmos
Essential facts and insights about Lagophthalmos
Primary ICD-10-CM Codes for lagophthalmos
Decision Criteria
clinical Criteria
- Presence of cicatricial changes affecting eyelid closure
Applicable To
- Post-surgical lagophthalmos
Clinical Validation Requirements
- Presence of scar tissue affecting eyelid closure
- Measurement of interpalpebral fissure distance
Code-Specific Risks
- Incorrectly coding as unspecified when cicatricial etiology is known.
Coding Notes
- Ensure documentation specifies cicatricial changes and includes measurements.
H02.22- - Mechanical lagophthalmos
Use when lagophthalmos is due to mechanical factors like ectropion.
Applicable To
- Lagophthalmos due to ectropion
Excludes
- Cicatricial lagophthalmos (H02.21-)
- Paralytic lagophthalmos (H02.23-)
Clinical Validation Requirements
- Mechanical factors such as ectropion causing incomplete closure
- Documentation of mechanical obstruction
Coding Notes
Document mechanical cause and any associated conditions.
H02.23- - Paralytic lagophthalmos
Use when lagophthalmos is due to paralysis, such as Bell's palsy.
Applicable To
- Lagophthalmos due to facial nerve palsy
Excludes
- Cicatricial lagophthalmos (H02.21-)
- Mechanical lagophthalmos (H02.22-)
Clinical Validation Requirements
- Paralysis of facial muscles affecting eyelid closure
- Documented facial nerve involvement
Coding Notes
Ensure documentation includes paralysis details and related nerve involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lagophthalmos to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H02.21-.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use standardized measurement tools, Incorporate into EHR templates
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document and code the specific type of lagophthalmos.
Impact
Using unspecified codes when specific details are available.
Mitigation Strategy
Ensure detailed documentation of etiology and 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 Lagophthalmos, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lagophthalmos
Use these documentation templates to ensure complete and accurate documentation for Lagophthalmos. These templates include all required elements for proper coding and billing.
Post-surgical lagophthalmos
Specialty: OculoplasticsRequired Elements
- Interpalpebral fissure measurement
- Etiology of lagophthalmos
- Surgical history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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