ICD 10 CM H00.025 | Description & Clinical Information

ICD 10 H00.025 describes a specific medical condition characterized by an acute bacterial infection caused by Staphylococcus that affects the internal meibomian gland of the lower eyelid of the left eye, which is also known as Hordeolum internum of the left lower eyelid, and is considered a rare occurrence.

Official Description Of H00.025

The ICD 10 CM book defines ICD 10 code H00.025 as:

When To Use H00.025

The diagnosis described by the ICD 10 CM H00.025 code pertains to a condition known as hordeola. These small, painful bumps appear on the edge of an individual’s eyelid due to a bacterial infection caused by staphylococcus bacteria. Hordeola are classified into two categories: hordeolum externum, which affects the hair follicles and plands on the outer edge of the eyelid; and hordeolum internum, a rare condition that impacts the meibomian glands within the eyelid.

The symptoms of hordeola vary based on where the condition develops. Those with hordeolum externum may experience localized pain and swelling, as well as a small pus-filled bump on the edge of their eyelid. However, hordeolum internum symptoms can be much more severe. Individuals with this condition may experience pain, inflammation, and redness at the base of their lashes on the affected eyelid. These symptoms can be associated with other conditions, such as preseptal cellulitis, blepharoconjunctivitis, and abscess.

Providers typically diagnose hordeola based on a medical history, physical signs and symptoms, and a thorough examination of the eyes and eyelashes. No specific tests are typically used to diagnose this condition. Instead, providers rely on visual and physical examinations to make a definitive diagnosis.

There are several ways to treat hordeola. Patients are often instructed to clean their eyelids thoroughly and apply warm compresses to encourage the pus within the bump to come to the surface. In some situations, an eyelash may need to be pulled to facilitate drainage of the bump. If the patient also presents with blepharoconjunctivitis, an accompanying infection that causes the eyelid and eye to be red and inflamed, providers may prescribe antibiotic eyedrops. However, when hordeolum internum is present, more invasive treatment may be required. This can include incision and drainage of the bump, as well as the potential use of systemic antibiotics to treat preseptal (periorbital) cellulitis.

In summary, the ICD 10 CM H00.025 diagnosis code refers to the occurrence of hordeola within an individual’s eyelid. Patients may experience localized pain and swelling, and treatment for the condition typically involves warm compresses, eyelid cleaning, and, in more severe cases, incision and drainage. With proper care, however, individuals can recover from hordeola without complications.