H31.311
Expulsive choroidal hemorrhage, right eye
Clinical Classification Guidelines
Medical Intelligence & Overview
Expulsive choroidal hemorrhage is a severe eye condition characterized by bleeding into the choroid layer of the eye, which can lead to rapid and significant vision loss. When it affects the right eye, it is classified under ICD-10 code H31.311. This condition often results from trauma or surgical complications and requires urgent medical attention to prevent permanent damage.
Causes & Symptoms
Clinical Causes: Trauma or injury to the eye, such as a blow or penetrating wound Complications following eye surgery, especially intraocular procedures Severe hypertension leading to blood vessel rupture in the eye Sudden increase in intraocular pressure from acute glaucoma attack Blood clotting disorders or anticoagulant therapy Vascular abnormalities or eye tumors
Key Symptoms: Sudden and severe eye pain Rapid decrease or loss of vision in the affected eye Visible swelling or bulging of the eye Discoloration or reddish appearance around the eye Numbness or a sensation of pressure in the eye Possible nausea or vomiting if associated with significant intraocular pressure Sensitivity to light (photophobia)
Diagnostic & Treatment
Diagnosis Path: Diagnosis of expulsive choroidal hemorrhage involves a comprehensive eye examination by an ophthalmologist, including visual acuity testing, slit-lamp examination, and fundoscopy to observe the internal structures of the eye. Imaging studies such as ultrasound biomicroscopy or B-scan ultrasonography may be employed to assess the extent of the bleeding and structural damage. The patient's medical history, especially recent trauma or eye surgery, is also crucial in establishing the diagnosis.
Treatment Protocols: Expulsive choroidal hemorrhage is a medical emergency requiring immediate intervention. Treatment strategies may include:
Clinical Advice & FAQs
Billing Guidance
Is H31.311 a billable ICD-10 code?
Yes, H31.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H31.311?
Clinical documentation must specify the nature of Expulsive choroidal hemorrhage, right eye and any associated comorbidities for accurate reporting.
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