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Home/Diagnosis/ICD-10 Coding for Corneal Infiltrate

ICD-10 Coding for Corneal Infiltrate

H16.1
H16.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for corneal infiltrate includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Corneal Lesion
Keratitis with Infiltrate
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Key Information: ICD-10 Coding for Corneal Infiltrate

Essential facts and insights about ICD-10 Coding for Corneal Infiltrate

Use ICD-10 code H16.1 for keratitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Keratitis

Non-Billable
H16.1
Non-Billable

Diagnostic Criteria

clinical:
  • • No epithelial defect present
documentation:
  • • Clear documentation of infiltrate characteristics

Applicable To

  • • Sterile corneal infiltrates without epithelial defect

Important Notes

  • • Ensure documentation specifies absence of epithelial defect.

Corneal ulcer

Non-Billable
H16.0
Non-Billable

Diagnostic Criteria

clinical:
  • • Epithelial defect ≥2mm
  • • Anterior chamber cells ≥1+
  • • Central infiltrate ≤3mm from corneal center

Applicable To

  • • Infectious corneal infiltrates with epithelial defect

Important Notes

  • • Document presence of epithelial defect and infectious markers.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z71.1

Contact lens wear

Use when the infiltrate is related to contact lens use.

B96.5

Staphylococcus as the cause of diseases classified elsewhere

Use when culture confirms Staphylococcus infection.

Frequently Asked Questions

What is the ICD-10 code for corneal infiltrate?

Corneal infiltrates without epithelial defects are coded under H16.1 for keratitis, while those with defects are coded under H16.0 for corneal ulcers.

How do you document a corneal infiltrate?

Document the laterality, size, location, presence of epithelial defect, and etiology to ensure accurate coding and treatment.

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