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Home/Diagnosis/ICD-10 Coding for Corneal Ulcer

ICD-10 Coding for Corneal Ulcer

H16.01
H16.04
H16.07

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

Also Known as:
Keratitis ulcer
Ulcerative keratitis
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Key Information: ICD-10 Coding for Corneal Ulcer

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

Use ICD-10 code H16.01 for central corneal ulcer, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Central corneal ulcer

Non-Billable
H16.01
Non-Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of central stromal infiltrate with epithelial defect

Applicable To

  • • Central stromal infiltrate with epithelial defect

Important Notes

  • • Ensure documentation specifies laterality and ulcer characteristics.

Marginal corneal ulcer

Non-Billable
H16.04
Non-Billable

Applicable To

  • • Limbal infiltrate separated by clear zone

Important Notes

  • • Document the presence of blepharitis and ulcer location.

Perforated corneal ulcer

Non-Billable
H16.07
Non-Billable

Applicable To

  • • Full-thickness stromal loss

Important Notes

  • • Ensure documentation includes Seidel test results.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.2

Staphylococcus as the cause of diseases classified elsewhere

Use if culture confirms Staphylococcus infection.

H04.12

Blepharitis

Use for marginal ulcers with associated blepharitis.

T85.328

Complication of prosthetic device

Use if ulcer is related to ocular prosthesis.

Frequently Asked Questions

What is the ICD-10 code for a central corneal ulcer?

The ICD-10 code for a central corneal ulcer is H16.01, with specific codes for laterality such as H16.011 for the right eye.

How do you code a perforated corneal ulcer?

A perforated corneal ulcer is coded as H16.07. Ensure documentation includes a positive Seidel test and stromal thinning confirmation.

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