ICD-10 Coding for Stye Left Eye(H00.015, H00.016, H00.025)
Complete ICD-10-CM coding and documentation guide for Stye Left Eye. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Stye Left Eye
H00.0-H00.1Primary Range
Hordeolum and chalazion
This range includes codes for hordeolum (stye) and chalazion, which are common eyelid conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H00.015 | Hordeolum externum left lower eyelid | Use when documentation specifies an external stye on the left lower eyelid. |
|
| H00.016 | Hordeolum externum left eye, unspecified eyelid | Use when documentation mentions a stye on the left eye but does not specify the eyelid. |
|
| H00.025 | Hordeolum internum left lower eyelid | Use when documentation specifies an internal stye on the left lower eyelid. |
|
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 stye left eye
Essential facts and insights about Stye Left Eye
Primary ICD-10-CM Codes for stye left eye
Decision Criteria
clinical Criteria
- Presence of a painful, erythematous nodule on the left lower eyelid margin.
Applicable To
- External stye on left lower eyelid
Excludes
- Chalazion (H00.1-)
Clinical Validation Requirements
- Presence of a painful, erythematous nodule on the left lower eyelid margin.
Code-Specific Risks
- Confusing with chalazion, which is non-infectious.
Coding Notes
- Ensure laterality and specific eyelid location are documented.
H00.016 - Hordeolum externum left eye, unspecified eyelid
Use when documentation mentions a stye on the left eye but does not specify the eyelid.
Applicable To
- External stye on left eye without specified eyelid
Excludes
- Chalazion (H00.1-)
Clinical Validation Requirements
- Presence of a painful, erythematous nodule on the left eye without specified eyelid.
Coding Notes
Ensure laterality is documented even if the eyelid is unspecified.
H00.025 - Hordeolum internum left lower eyelid
Use when documentation specifies an internal stye on the left lower eyelid.
Applicable To
- Internal stye on left lower eyelid
Excludes
- Chalazion (H00.1-)
Clinical Validation Requirements
- Presence of a deep, painful nodule in the meibomian gland of the left lower eyelid.
Coding Notes
Ensure documentation specifies internal involvement of the meibomian gland.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for examination of eyes and vision without abnormal findings
Z01.00Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chalazion
H00.1-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Stye Left Eye to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H00.015.
Impact
Clinical: May lead to incorrect treatment if the type of stye is not clear., Regulatory: Increases risk of coding audits., Financial: Potential for reduced reimbursement due to unspecified coding.
Mitigation Strategy
Ensure documentation includes specific eyelid location., Educate clinicians on the importance of detailed documentation.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Increases risk of audits for overuse of unspecified codes., Data Quality: Reduces accuracy of clinical data and reporting.
Mitigation Strategy
Ensure documentation specifies the eyelid location to use the most specific code.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation is detailed and specific to support the most accurate code.
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 Stye Left Eye, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Stye Left Eye
Use these documentation templates to ensure complete and accurate documentation for Stye Left Eye. These templates include all required elements for proper coding and billing.
Diagnosis of a stye on the left lower eyelid
Specialty: OphthalmologyRequired Elements
- Patient's complaint of eyelid pain
- Observation of erythematous nodule
- Eyelid location and laterality
- Type of hordeolum (external/internal)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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