ICD-10-CM Billable Code

H18.833

Recurrent erosion of cornea, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Recurrent erosion of the cornea is a condition characterized by repeated episodes of corneal epithelial breakdown, leading to discomfort, visual disturbances, and potential further complications. When this condition affects both eyes, it is termed bilateral recurrent corneal erosion. It typically results from a previous injury or underlying corneal disorders and requires proper management to prevent recurrent episodes and preserve vision.

Causes & Symptoms

Clinical Causes: Previous corneal injury or trauma Corneal dystrophies, such as congenital map-dot-fingerprint dystrophy Infections affecting the corneal epithelium Inadequate healing after corneal procedures or surgeries Chronic eye rubbing or eye diseases leading to epithelial fragility Other underlying eye conditions that compromise corneal integrity

Key Symptoms: Sudden onset of eye pain, often sharp and stabbing Sensitivity to light (photophobia) Reduced or blurred vision during episodes Foreign body sensation or feeling of grittiness Redness and swelling of the affected eye Episodic previously healed areas re-epithelializing or breaking down again Discomfort usually worsens upon waking or after eye injury

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive eye examination by an ophthalmologist. Key steps include:

Treatment Protocols: Managing recurrent bilateral corneal erosion focuses on promoting healing, preventing episodes, and addressing underlying causes. 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 H18.833 a billable ICD-10 code?
Yes, H18.833 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H18.833?
Clinical documentation must specify the nature of Recurrent erosion of cornea, bilateral and any associated comorbidities for accurate reporting.

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