ICD-10 Coding for Right Eye Conjunctivitis(H10.011, H10.021)
Complete ICD-10-CM coding and documentation guide for Right Eye Conjunctivitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Eye Conjunctivitis
H10.0-H10.9Primary Range
Conjunctivitis
This range includes various types of conjunctivitis affecting the eye, including bacterial, viral, and allergic forms.
Viral Conjunctivitis
This range is used for viral forms of conjunctivitis, which may require different treatment and coding.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H10.011 | Acute follicular conjunctivitis, right eye | Use when acute follicular conjunctivitis is confirmed in the right eye. |
|
| H10.021 | Acute bacterial conjunctivitis, right eye | Use when bacterial conjunctivitis is confirmed in 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 right eye conjunctivitis
Essential facts and insights about Right Eye Conjunctivitis
Primary ICD-10-CM Codes for right eye conjunctivitis
Decision Criteria
clinical Criteria
- Presence of follicular nodules and serous discharge
Applicable To
- Follicular conjunctivitis of right eye
Excludes
- Chronic follicular conjunctivitis (H10.43)
Clinical Validation Requirements
- Presence of dome-shaped nodules on conjunctiva
- Viral or bacterial etiology confirmed
Code-Specific Risks
- Misclassification if etiology is not confirmed
Coding Notes
- Ensure documentation specifies follicular nature and laterality.
H10.021 - Acute bacterial conjunctivitis, right eye
Use when bacterial conjunctivitis is confirmed in the right eye.
Applicable To
- Bacterial conjunctivitis of right eye
Excludes
- Chronic bacterial conjunctivitis (H10.43)
Clinical Validation Requirements
- Purulent or mucopurulent discharge
- Positive bacterial culture
Coding Notes
Documentation must confirm bacterial etiology and laterality.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Eye Conjunctivitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H10.011.
Impact
Clinical: May lead to incorrect treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use standardized templates, Educate staff on documentation requirements
Impact
Reimbursement: May result in denied claims or reduced reimbursement, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of health records
Mitigation Strategy
Query the provider for specific etiology and laterality
Impact
Using unspecified codes without detailed documentation
Mitigation Strategy
Ensure detailed documentation of symptoms and test results
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 Right Eye Conjunctivitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Eye Conjunctivitis
Use these documentation templates to ensure complete and accurate documentation for Right Eye Conjunctivitis. These templates include all required elements for proper coding and billing.
Acute bacterial conjunctivitis in urgent care
Specialty: OphthalmologyRequired Elements
- Chief complaint
- Discharge type
- Culture results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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