H11.823
Conjunctivochalasis, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Conjunctivochalasis is a condition characterized by the abnormal slackness or folding of the conjunctiva, the thin membrane covering the white part of the eye. When it occurs bilaterally, it affects both eyes, often leading to discomfort and vision issues. This condition is typically seen in older adults and can interfere with tear distribution, causing dryness and irritation. Recognized under the ICD-10 code H11.823, conjunctivochalasis is an ocular health concern that requires proper diagnosis and management.
Causes & Symptoms
Clinical Causes: Aging process leading to tissue laxity and degeneration of the conjunctiva Chronic eye irritation or inflammation Environmental factors such as sun exposure or wind Previous eye surgeries or trauma that may weaken conjunctival tissues Genetic predisposition in some cases
Key Symptoms: Persistent eye dryness and irritation Sensation of a foreign body or grittiness Blurred or fluctuating vision, especially when blinking Redness or inflammation of the conjunctiva Increased tearing or tearing episodes Eyelid twitching or discomfort during eye movement
Diagnostic & Treatment
Diagnosis Path: Diagnosis of conjunctivochalasis involves a comprehensive eye examination by an ophthalmologist. The clinician inspects the conjunctiva for redundant folds or excess tissue, especially in the lower eyelid region. Additional tests such as slit-lamp examination help in assessing the severity and extent of tissue laxity. In some cases, tear film assessment or specialized imaging may be utilized to understand its impact on tear distribution and eye health.
Treatment Protocols: Treatment options vary based on severity and symptoms, with some cases requiring no intervention at all. When treatment is necessary, options include: - Artificial tears or lubricating eye drops to alleviate dryness and discomfort - Surgical procedures to remove excess conjunctival tissue, such as conjunctival excision or cauterization - Management of underlying conditions like inflammation or dry eye syndrome - Regular monitoring to assess progression and adapt management strategies Referral to a specialist might be recommended for persistent or severe cases to determine the best approach for symptom relief and eye health preservation.
Clinical Advice & FAQs
Billing Guidance
Is H11.823 a billable ICD-10 code?
Yes, H11.823 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H11.823?
Clinical documentation must specify the nature of Conjunctivochalasis, bilateral and any associated comorbidities for accurate reporting.
Cite this Clinical Reference