ICD-10-CM Billable Code

H11.213

Conjunctival adhesions and strands (localized), bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Conjunctival adhesions and strands are eye conditions characterized by the abnormal sticking of the conjunctiva, the thin membrane covering the white part of the eye and lining the eyelids. When these adhesions occur on both eyes, they are referred to as bilateral conjunctival adhesions. These adhesions can lead to discomfort and visual problems if left untreated. The ICD-10 code H11.213 specifically describes localized conjunctival adhesions and strands affecting both eyes, indicating that the condition is limited to specific areas rather than widespread across the conjunctiva.

Causes & Symptoms

Clinical Causes: Previous eye infections, such as conjunctivitis (pink eye) Inflammation resulting from ocular trauma or injury Surgical procedures involving the eyes Chronic ocular surface inflammation or dry eye syndrome Severe allergic reactions affecting the eyes Chemical burns or exposure to harmful irritants Autoimmune diseases impacting eye tissues

Key Symptoms: Discomfort or a sensation of grittiness in the eyes Redness in the affected eyes Reduced or blurry vision if adhesions are extensive Presence of visible strands or bands across the conjunctiva Tearing or watery eyes Sensitivity to light (photophobia) Foreign body sensation

Diagnostic & Treatment

Diagnosis Path: The diagnosis of bilateral conjunctival adhesions involves a thorough eye examination by an eye care professional. The process may include: - Visual inspection of the conjunctiva to identify adhesions or strands - Slit-lamp microscopy for detailed examination of eye structures - Assessment of symptoms and medical history - Additional tests if underlying causes are suspected, such as tests for infections or autoimmune conditions Accurate diagnosis helps determine the severity and appropriate management of the condition.

Treatment Protocols: Treatment options focus on relieving symptoms, preventing further adhesion formation, and restoring normal conjunctival function. These may include: - Topical lubricating eye drops or ointments to soothe the eyes - Anti-inflammatory medications, such as corticosteroid eye drops, to reduce inflammation - Careful removal of adhesions, if they cause significant obstruction or discomfort, performed by an eye care specialist - Managing underlying causes like infections or allergies - Fostering eye hygiene practices to prevent infection and inflammation - In severe cases, surgical intervention may be necessary to separate adhesions or prevent recurrence Regular follow-up with an eye care professional is essential for monitoring the condition and adjusting treatment as needed.

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 H11.213 a billable ICD-10 code?
Yes, H11.213 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.213?
Clinical documentation must specify the nature of Conjunctival adhesions and strands (localized), bilateral and any associated comorbidities for accurate reporting.

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