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

ICD-10 Coding for Bilateral Dry Eye Syndrome

H04.123
H04.13

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

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

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

Use ICD-10 code H04.123 for dry eye syndrome of bilateral lacrimal glands, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Dry eye syndrome of bilateral lacrimal glands

Billable Code
H04.123
Billable

Diagnostic Criteria

clinical:
  • • Schirmer’s test <10mm
  • • TBUT <10 seconds
documentation:
  • • Explicit mention of bilateral lacrimal gland involvement

Applicable To

  • • Bilateral lacrimal gland dysfunction

Important Notes

  • • Ensure documentation specifies bilateral involvement and lacrimal gland dysfunction.

Bilateral dry eye syndrome, not specified as Sjögren's

Non-Billable
H04.13
Non-Billable

Diagnostic Criteria

clinical:
  • • Patient-reported symptoms
  • • Clinical examination confirming bilateral dry eye

Applicable To

  • • General bilateral dry eye

Important Notes

  • • Ensure laterality is documented as bilateral.
Ancillary Codes

Additional codes that may be used with this diagnosis

H16.14-

Punctate keratitis

Use if punctate keratitis is present alongside dry eye.

H04.20-

Epiphora complicating dry eye

Use if epiphora is present as a complication.

Frequently Asked Questions

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

The ICD-10 code for bilateral dry eye syndrome with lacrimal gland involvement is H04.123. For general bilateral dry eye not specified as Sjögren's, use H04.13.

How is bilateral dry eye syndrome documented?

Document bilateral dry eye syndrome by noting specific test results such as Schirmer’s test and TBUT, and confirm bilateral involvement in the clinical notes.

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