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Home/Diagnosis/ICD-10 Coding for Episcleritis

ICD-10 Coding for Episcleritis

H15.101
H15.109

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

Also Known as:
Nodular episcleritis
Episcleritis periodica fugax
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Key Information: ICD-10 Coding for Episcleritis

Essential facts and insights about ICD-10 Coding for Episcleritis

Use ICD-10 code H15.101 for unspecified episcleritis, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified episcleritis, right eye

Billable Code
H15.101
Billable

Diagnostic Criteria

clinical:
  • • Presence of sectoral redness and blanching with phenylephrine
documentation:
  • • Laterality must be specified as right eye

Applicable To

  • • Episcleritis affecting the right eye without further specification

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Unspecified episcleritis, unspecified eye

Billable Code
H15.109
Billable

Diagnostic Criteria

clinical:
  • • General episcleral redness
  • • Blanching with phenylephrine
  • • No scleral involvement

Applicable To

  • • Episcleritis without specification of laterality

Important Notes

  • • Avoid using unspecified codes to prevent audits.
Ancillary Codes

Additional codes that may be used with this diagnosis

H04.12x

Dry eye syndrome

Use if dry eye syndrome is present as a comorbid condition.

M05.xx

Rheumatoid arthritis

Use if episcleritis is associated with rheumatoid arthritis.

Frequently Asked Questions

What is the ICD-10 code for episcleritis?

The ICD-10 code for unspecified episcleritis is H15.109, but specific codes like H15.101 for the right eye should be used when laterality is documented.

How is episcleritis documented for coding?

Episcleritis documentation should include laterality, type (nodular or diffuse), and phenylephrine test results to ensure accurate coding.

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