H20.0
Acute and subacute iridocyclitis
Clinical Classification Guidelines
Inclusion Terms
- Acute anterior uveitis
- Acute cyclitis
- Acute iritis
- Subacute anterior uveitis
- Subacute cyclitis
- Subacute iritis
Excludes Type 1
- iridocyclitis, iritis, uveitis (due to) (in) diabetes mellitus (E08-E13 with .39)
- iridocyclitis, iritis, uveitis (due to) (in) diphtheria (A36.89)
- iridocyclitis, iritis, uveitis (due to) (in) gonococcal (A54.32)
- iridocyclitis, iritis, uveitis (due to) (in) herpes (simplex) (B00.51)
- iridocyclitis, iritis, uveitis (due to) (in) herpes zoster (B02.32)
- iridocyclitis, iritis, uveitis (due to) (in) late congenital syphilis (A50.39)
- iridocyclitis, iritis, uveitis (due to) (in) late syphilis (A52.71)
- iridocyclitis, iritis, uveitis (due to) (in) sarcoidosis (D86.83)
- iridocyclitis, iritis, uveitis (due to) (in) syphilis (A51.43)
- iridocyclitis, iritis, uveitis (due to) (in) toxoplasmosis (B58.09)
- iridocyclitis, iritis, uveitis (due to) (in) tuberculosis (A18.54)
Medical Intelligence & Overview
Acute and subacute iridocyclitis, also known as anterior uveitis, is an inflammation of the middle layer of the eye, specifically affecting the iris and ciliary body. This condition can cause discomfort and vision problems if not appropriately managed. It is classified under ICD-10 as code H20.0 and encompasses both sudden (acute) and gradually developing (subacute) inflammation of the front part of the uveal tract.
Causes & Symptoms
Clinical Causes: Autoimmune disorders like rheumatoid arthritis or HLA-B27 related conditions Infections caused by viruses (herpes simplex, varicella-zoster), bacteria, or parasites Ocular trauma or injury Presence of systemic inflammatory diseases such as sarcoidosis or juvenile idiopathic arthritis Exposure to certain drugs or toxins Unknown factors in some cases (idiopathic)
Key Symptoms: Eye redness, often concentrated around the iris Eye pain or tenderness Sensitivity to light (photophobia) Blurred vision or decreased visual acuity Small or irregular pupil size Tearing and watery eyes Possible presence of floaters or visual disturbances Discomfort that worsens with eye movement or exposure to bright light
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive eye examination by an ophthalmologist, including slit-lamp biomicroscopy to observe inflammation in the anterior chamber. Additional tests such as eye pressure measurement, retinal examination, blood tests, or imaging may be performed to identify underlying causes or associated systemic conditions. The ophthalmologist assesses symptoms, visual acuity, and the presence of characteristic signs to confirm the diagnosis.
Treatment Protocols: Management of acute and subacute iridocyclitis typically includes the use of corticosteroid eye drops to reduce inflammation and improve symptoms. Dilating eye drops may be prescribed to ease discomfort and prevent the formation of synechiae (adhesions between iris and cornea). Addressing underlying causes, such as infections or systemic illnesses, is essential. Regular follow-up appointments are necessary to monitor response to treatment and prevent complications, including increased eye pressure or glaucoma. In some cases, additional immunosuppressive medications may be indicated for chronic or recurrent inflammation.
Clinical Advice & FAQs
Billing Guidance
Is H20.0 a billable ICD-10 code?
Yes, H20.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H20.0?
Clinical documentation must specify the nature of Acute and subacute iridocyclitis and any associated comorbidities for accurate reporting.
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