ICD-10 Coding for Subconjunctival Hemorrhage(H11.31, H11.32, H11.33)
Complete ICD-10-CM coding and documentation guide for Subconjunctival Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subconjunctival Hemorrhage
H11.3-Primary Range
Disorders of conjunctiva
This range includes codes for subconjunctival hemorrhage, specifying laterality.
Injury of conjunctiva and corneal abrasion without foreign body
Used when subconjunctival hemorrhage is due to trauma.
Essential (primary) hypertension
Used when subconjunctival hemorrhage is associated with hypertension.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H11.31 | Conjunctival hemorrhage, right eye | Use when the hemorrhage is in the right eye and not due to trauma. |
|
| H11.32 | Conjunctival hemorrhage, left eye | Use when the hemorrhage is in the left eye and not due to trauma. |
|
| H11.33 | Conjunctival hemorrhage, bilateral | Use when the hemorrhage is in both eyes and not due to trauma. |
|
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 subconjunctival hemorrhage
Essential facts and insights about Subconjunctival Hemorrhage
Primary ICD-10-CM Codes for subconjunctival hemorrhage
Decision Criteria
clinical Criteria
- Presence of a red patch on the sclera of the right eye without trauma.
Applicable To
- Subconjunctival hemorrhage, right eye
Excludes
- Traumatic conjunctival hemorrhage (S05.0-)
Clinical Validation Requirements
- Painless red patch on sclera of right eye
- No vision changes
- No trauma history
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented to avoid unspecified code usage.
H11.32 - Conjunctival hemorrhage, left eye
Use when the hemorrhage is in the left eye and not due to trauma.
Applicable To
- Subconjunctival hemorrhage, left eye
Excludes
- Traumatic conjunctival hemorrhage (S05.0-)
Clinical Validation Requirements
- Painless red patch on sclera of left eye
- No vision changes
- No trauma history
Coding Notes
Ensure laterality is documented to avoid unspecified code usage.
H11.33 - Conjunctival hemorrhage, bilateral
Use when the hemorrhage is in both eyes and not due to trauma.
Applicable To
- Subconjunctival hemorrhage, both eyes
Excludes
- Traumatic conjunctival hemorrhage (S05.0-)
Clinical Validation Requirements
- Painless red patches on sclera of both eyes
- No vision changes
- No trauma history
Coding Notes
Ensure laterality is documented to avoid unspecified code usage.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
S05.01XAInjury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter
S05.02XAInjury of conjunctiva and corneal abrasion without foreign body
S05.0-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Keratoconjunctivitis
H16.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Subconjunctival Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H11.31.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always specify the affected eye in clinical notes.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure laterality is documented and use the specific code for right, left, or bilateral.
Impact
Reimbursement: Incorrect sequencing can affect DRG assignment., Compliance: Violates coding guidelines for sequencing., Data Quality: Compromises the integrity of clinical data.
Mitigation Strategy
Always code the underlying cause first, such as trauma or hypertension.
Impact
Failure to document laterality can lead to coding errors.
Mitigation Strategy
Implement mandatory fields for laterality in electronic health records.
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 Subconjunctival Hemorrhage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subconjunctival Hemorrhage
Use these documentation templates to ensure complete and accurate documentation for Subconjunctival Hemorrhage. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Subconjunctival Hemorrhage
Specialty: Emergency MedicineRequired Elements
- Laterality
- Onset
- Associated symptoms
- Trauma history
- Medications
- Systemic conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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