ICD-10-CM Billable Code

H17.823

Peripheral opacity of cornea, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Bilateral peripheral corneal opacity refers to the presence of cloudy or opaque areas located around the edges of both corneas. The cornea is the transparent front part of the eye that helps focus light onto the retina. When these peripheral areas become cloudy, it can affect vision and eye health. This condition is classified under ICD-10 code H17.823 and may result from various underlying causes. Recognizing the signs and understanding potential treatment options can help in managing this condition effectively.

Causes & Symptoms

Clinical Causes: Previous eye injuries or trauma involving the cornea Infections such as herpes simplex keratitis or bacterial keratitis Chronic inflammatory eye conditions like episcleritis or scleritis Corneal degenerations, including peripheral corneal thinning (pterygium or arcus senilis) Exposure to environmental toxins or UV radiation Post-surgical changes following procedures like corneal transplant or cataract surgery Nutritional deficiencies, especially vitamin A deficiency Congenital abnormalities or inherited corneal dystrophies

Key Symptoms: Noticeable cloudy or cloudy-looking areas around the edges of the cornea Mild to significant visual disturbance, such as blurred vision Sensitivity to light (photophobia) Tearing or a sensation of grittiness in the eye Possible redness or inflammation of the eye

Diagnostic & Treatment

Diagnosis Path: Corneal topography to assess corneal shape Fluorescein staining to detect epithelial or stromal damage Corneal pachymetry to measure thickness Microbiological cultures if infection is suspected Review of patient history and any previous eye injuries or surgeries

Treatment Protocols: Medical therapy using eye drops or ointments, such as corticosteroids or anti-inflammatory medications, to reduce inflammation Antimicrobial treatments if an infection is involved Protective measures like sunglasses to reduce UV exposure Addressing nutritional deficiencies through diet or supplements Surgical interventions, such as corneal transplantation or laser procedures, in cases where the opacity significantly impair vision Regular monitoring and follow-up to track progression and response to treatment

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 H17.823 a billable ICD-10 code?
Yes, H17.823 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H17.823?
Clinical documentation must specify the nature of Peripheral opacity of cornea, bilateral and any associated comorbidities for accurate reporting.

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