ICD-10-CM Billable Code

H10.011

Acute follicular conjunctivitis, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute follicular conjunctivitis is an eye condition characterized by inflammation of the conjunctiva, the thin, transparent tissue covering the white part of the eye and lining the eyelids. When it affects the right eye specifically, it is classified under the ICD-10 code H10.011. This condition is usually caused by infections and results in noticeable discomfort and redness, which often requires medical attention for proper management.

Causes & Symptoms

Clinical Causes: Viral infections, particularly adenoviruses and herpes simplex virus. Bacterial infections, such as Staphylococcus or Streptococcus species. Allergic reactions to environmental allergens like pollen, dust, or pet dander. Irritants from smoke, pollution, or chemical exposure. Contact lens use or poor contact lens hygiene.

Key Symptoms: Redness in the right eye, often accompanied by a watery or mucus discharge. Presence of follicular swelling on the conjunctiva, giving it a bumpy appearance. Itching or a gritty sensation in the eye. Sensitivity to light (photophobia). Possible swelling of eyelids and eye discomfort. Tearing and a feeling of fullness or pressure in the eye. In some cases, blurred vision due to discharge or swelling.

Diagnostic & Treatment

Diagnosis Path: Diagnosis is primarily based on clinical examination by an eye care professional. The ophthalmologist will inspect the eye for signs of follicular swelling, redness, and discharge. In certain cases, laboratory tests such as eye swabs or cultures may be performed to identify the infectious agent, especially if the condition recurs or persists.

Treatment Protocols: Treatment focuses on alleviating symptoms and addressing the underlying cause. Approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H10.011 a billable ICD-10 code?
Yes, H10.011 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H10.011?
Clinical documentation must specify the nature of Acute follicular conjunctivitis, right eye and any associated comorbidities for accurate reporting.

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