H16.23
Neurotrophic keratoconjunctivitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Neurotrophic keratoconjunctivitis is a rare eye condition that affects the cornea, the clear front surface of the eye. It is characterized by decreased or lost sensation in the cornea, leading to impaired healing and increased risk of corneal damage. This condition often results from nerve damage to the eye, which interferes with the eye's ability to protect and repair itself. Recognizing this condition is important because it can lead to serious eye complications if left untreated.
Causes & Symptoms
Clinical Causes: Damage to the trigeminal nerve, which supplies sensation to the cornea Herpes zoster ophthalmicus (shingles affecting the eye) Surgical procedures involving the cornea or nerve pathways Diabetic neuropathy affecting eye nerves Chemical burns or injuries to the eye Chronic eye infections or inflammatory conditions Degenerative nerve diseases such as leprosy
Key Symptoms: Decreased or absent corneal sensation Eye redness and irritation Chronic tearing or watering of the eye Sensitivity to light (photophobia) Feeling of a foreign body in the eye Blurred or decreased vision Corneal ulcers or erosions in advanced cases Delayed healing of corneal injuries
Diagnostic & Treatment
Diagnosis Path: Diagnosis primarily involves a thorough eye examination by an eye care professional. Specific tests include:
Treatment Protocols: Managing neurotrophic keratoconjunctivitis involves strategies to protect and promote healing of the cornea, prevent infections, and treat underlying nerve damage. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is H16.23 a billable ICD-10 code?
Yes, H16.23 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H16.23?
Clinical documentation must specify the nature of Neurotrophic keratoconjunctivitis and any associated comorbidities for accurate reporting.
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