ICD-10-CM Billable Code

H11.423

Conjunctival edema, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Bilateral conjunctival edema, commonly referred to as swelling of the conjunctiva in both eyes, is a condition characterized by the accumulation of fluid in the conjunctiva—the thin, transparent tissue covering the white part of the eye and lining the eyelids. This condition can cause discomfort, redness, and a noticeable puffiness around the eyes. While it may be temporary or mild in some cases, persistent or severe conjunctival swelling can indicate underlying health issues that require medical evaluation.

Causes & Symptoms

Clinical Causes: Allergic reactions to pollen, dust, pet dander, or certain cosmetics Infections such as viral or bacterial conjunctivitis Exposure to irritants like smoke, pollution, or chemical fumes Environmental factors leading to ocular irritation Underlying systemic conditions, including autoimmune diseases Use of certain eye medications or contact lens solutions Injury or trauma affecting the eye surface

Key Symptoms: Swelling of the conjunctiva in both eyes Redness and inflammation of the conjunctiva Itching or a burning sensation Tearing or watery eyes Sensitivity to light A sensation of grittiness or foreign body in the eye Discharge from the eyes, which may be watery or sticky Mild to moderate discomfort or irritation

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination by an eye care professional. The clinician will observe the appearance of the conjunctiva, check for signs of infection or allergy, and inquire about recent exposures or symptoms. Additional tests may include taking a detailed medical history, visual acuity assessments, and, in certain cases, laboratory tests to identify infectious agents or allergy-specific skin tests. Proper identification of the cause is essential for targeted management.

Treatment Protocols: Treatment for bilateral conjunctival edema depends on the underlying cause. Common approaches 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 H11.423 a billable ICD-10 code?
Yes, H11.423 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H11.423?
Clinical documentation must specify the nature of Conjunctival edema, bilateral and any associated comorbidities for accurate reporting.

Cite this Clinical Reference