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ICD-10 Coding for Ocular Rosacea(L71.9, H10.821, H10.823)

Complete ICD-10-CM coding and documentation guide for Ocular Rosacea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Rosacea ConjunctivitisOcular Involvement in Rosacea

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Related ICD-10 Code Ranges

Complete code families applicable to Ocular Rosacea

L71-L71.9Primary Range

Rosacea

This range includes codes for rosacea, which is the underlying condition for ocular rosacea.

H10.82-H10.829

Rosacea Conjunctivitis

This range includes codes for conjunctivitis due to rosacea, specifying laterality.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
L71.9Rosacea, unspecifiedUse when documenting rosacea without specifying subtype.
  • Centrofacial erythema
  • Papulopustular lesions
  • Flushing triggered by specific factors
H10.821Rosacea conjunctivitis, right eyeUse when rosacea affects the right eye.
  • Lid margin telangiectasia
  • Meibomian gland dysfunction
H10.823Rosacea conjunctivitis, bilateralUse when rosacea affects both eyes.
  • Bilateral lid margin telangiectasia
  • Meibomian gland dysfunction

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 ocular rosacea

Essential facts and insights about Ocular Rosacea

The ICD-10 code for ocular rosacea is H10.82x, with specific codes for laterality such as H10.821 for the right eye.

Primary ICD-10-CM Codes for ocular rosacea

L71.9
Rosacea, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of facial erythema and papules.

Applicable To

  • Facial erythema
  • Papulopustular lesions

Excludes

  • Seborrheic dermatitis (L21.-)

Clinical Validation Requirements

  • Centrofacial erythema
  • Papulopustular lesions
  • Flushing triggered by specific factors

Code-Specific Risks

  • Ensure facial symptoms are documented to support this code.

Coding Notes

View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Meibomian gland dysfunction, right upper eyelid

H04.121
Use when MGD is confirmed via diagnostic tests.

Meibomian gland dysfunction, bilateral

H04.123
Use when MGD is confirmed via diagnostic tests.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Seborrheic dermatitis, unspecified

L21.9
Seborrheic dermatitis lacks the flushing and telangiectasia typical of rosacea.

Acute atopic conjunctivitis

H10.1
Allergic conjunctivitis typically presents with itching and seasonal variation.

Conjunctivitis due to adenovirus

H13.1
Viral conjunctivitis often presents with preauricular lymphadenopathy.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ocular Rosacea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L71.9.

Impact

Clinical: Lacks specificity for diagnosis., Regulatory: Fails to meet documentation standards., Financial: May result in claim denials.

Mitigation Strategy

Include specific findings like telangiectasia., Use detailed slit-lamp exam results.

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data reporting.

Mitigation Strategy

Always code L71.9 before H10.82x.

Impact

Incorrect sequencing of rosacea and conjunctivitis codes.

Mitigation Strategy

Educate coders on proper sequencing rules.

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 Ocular Rosacea, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Ocular Rosacea

Use these documentation templates to ensure complete and accurate documentation for Ocular Rosacea. These templates include all required elements for proper coding and billing.

Bilateral ocular rosacea with facial involvement

Specialty: Ophthalmology

Required Elements

  • Ocular symptoms
  • Slit-lamp findings
  • Cutaneous correlation
  • Diagnostic tests
  • Linkage statement

Example Documentation

1. Ocular Symptoms: Grittiness, photophobia. 2. Slit-Lamp Findings: Bilateral lid margin telangiectasia. 3. Cutaneous Correlation: Mild erythema on malar cheeks. 4. Diagnostic Tests: TBUT 4s OD, 5s OS. 5. Linkage Statement: Ocular findings consistent with rosacea-related inflammation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Eye redness noted.
Good Documentation Example
2+ mm telangiectasia along right lower lid margin with inspissated meibum.
Explanation
The good example provides specific clinical findings supporting the diagnosis.

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