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Home/Diagnosis/ICD-10 Coding for Dry Eye Syndrome

ICD-10 Coding for Dry Eye Syndrome

H04.121
H04.122
H04.123

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

Also Known as:
Keratoconjunctivitis Sicca
Dry Eyes
Ocular Surface Disease
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Key Information: ICD-10 Coding for Dry Eye Syndrome

Essential facts and insights about ICD-10 Coding for Dry Eye Syndrome

Use ICD-10 code H04.121 for dry eye syndrome, right lacrimal gland, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Dry eye syndrome, right lacrimal gland

Billable Code
H04.121
Billable

Diagnostic Criteria

  • • Schirmer test ≤5 mm
  • • Tear osmolarity >308 mOsm/L

Applicable To

  • • Aqueous tear deficiency

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Dry eye syndrome, left lacrimal gland

Billable Code
H04.122
Billable

Diagnostic Criteria

  • • Schirmer test ≤5 mm
  • • Tear osmolarity >308 mOsm/L

Applicable To

  • • Aqueous tear deficiency

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Dry eye syndrome, bilateral lacrimal glands

Billable Code
H04.123
Billable

Diagnostic Criteria

  • • Schirmer test ≤5 mm
  • • Tear osmolarity >308 mOsm/L

Applicable To

  • • Aqueous tear deficiency

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Keratoconjunctivitis sicca, not specified as Sjögren's

Non-Billable
H16.22-
Non-Billable

Diagnostic Criteria

  • • Corneal staining
  • • TBUT <7 seconds

Applicable To

  • • Dry eye syndrome with corneal involvement

Important Notes

  • • Ensure corneal involvement is documented.

Sjögren's syndrome

Non-Billable
M35.0
Non-Billable

Diagnostic Criteria

  • • Positive SSA/SSB antibodies
  • • Salivary gland biopsy

Applicable To

  • • Dry eye syndrome due to autoimmune etiology

Important Notes

  • • Ensure autoimmune etiology is confirmed before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

H11.4-

Conjunctival vascularization

Use for severe cases with conjunctival changes.

Frequently Asked Questions

What is the ICD-10 code for dry eye syndrome?

The ICD-10 codes for dry eye syndrome are H04.121-H04.123, depending on laterality. Use H04.121 for right eye, H04.122 for left eye, and H04.123 for bilateral involvement.

How do you code dry eye syndrome with Sjögren's syndrome?

For dry eye syndrome due to Sjögren's syndrome, use M35.0 as the primary code, followed by H04.12- for specific lacrimal gland involvement.

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