ICD-10-CM Billable Code

H10.233

Serous conjunctivitis, except viral, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

Serous conjunctivitis is an inflammation of the conjunctiva, the thin transparent layer covering the white part of the eye and the inner eyelids. When this condition occurs in both eyes and is characterized by clear or watery discharge, it is termed bilateral serous conjunctivitis. Unlike viral conjunctivitis, which is caused by viral infections, this type can occur due to other underlying factors such as allergies or irritants. Recognizing the symptoms and understanding the causes can help in managing this eye condition effectively.

Causes & Symptoms

Clinical Causes: Allergic reactions to pollen, dust, pet dander, or other environmental allergens Irritants such as smoke, chemicals, or pollution contact the eyes Bacterial infections other than the common viral pathogens Chemical exposure or injury to the eyes Underlying medical conditions that lead to eye inflammation

Key Symptoms: Persistent watery or clear discharge from both eyes Redness and swelling of the conjunctiva Itching and a sensation of grittiness or foreign body in the eyes Sensitivity to light (photophobia) Tearing or increased tear production Possible eyelid swelling Mild discomfort or irritation throughout the day

Diagnostic & Treatment

Diagnosis Path: Diagnosis of bilateral serous conjunctivitis involves a comprehensive eye examination by a healthcare professional. The doctor will evaluate symptoms, perform a visual inspection of the eyes, and may take a detailed medical history to identify potential triggers or underlying causes. Additional tests might include conjunctival swabs or allergy testing if an allergic cause is suspected. Proper diagnosis helps distinguish this condition from other eye disorders like viral or bacterial conjunctivitis.

Treatment Protocols: Avoiding known allergens or irritants to prevent exacerbation Use of artificial tears or lubricating eye drops to soothe the eyes Antihistamine eye drops or oral medications if allergic reactions are identified Cold compresses applied to reduce inflammation and discomfort Maintaining good eye hygiene, including regular cleaning of eyelids In severe cases, healthcare providers may prescribe corticosteroid eye drops for short-term use If a bacterial cause is suspected or confirmed, appropriate antibiotic eye drops may be recommended

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 H10.233 a billable ICD-10 code?
Yes, H10.233 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H10.233?
Clinical documentation must specify the nature of Serous conjunctivitis, except viral, bilateral and any associated comorbidities for accurate reporting.

Cite this Clinical Reference