ICD 10 CM H02.522 | Description & Clinical Information

ICD 10 H02.522 describes a medical condition known as blepharophimosis, which is characterized by a narrowing of the opening between the upper and lower eyelids, resulting in a shortened palpebral fissure, or the distance between the inner and outer canthi, and may also include ankyloblepharon, a condition where the eyelids are partially or completely fused together, with this specific code indicating that the right lower eyelid is affected.

Official Description Of H02.522

The ICD 10 CM book defines ICD 10 code H02.522 as:

When To Use H02.522

The diagnosis describes by ICD 10 CM H02.522 code includes two conditions that affect the eyelids: blepharophimosis and ankyloblepharon. It is important to distinguish between the two as they have different causes and symptoms. Blepharophimosis happens because of a vertical fold of tissue covering the outer corner of the eye, reducing the space between the upper and lower eyelids. On the other hand, ankyloblepharon is a partial or complete fusion of one or both eyelids. These conditions can cause vision problems and difficulty opening the eyes fully. Medical coders need to understand the difference between these two conditions to assign the correct code.

Blepharophimosis of the right lower eyelid can cause limited vision, as well as the inability to open the eyelids fully. This condition can occur on one or both eyes, and it may be present at birth. To make a diagnosis, an ophthalmologist will look at the medical history, signs and symptoms, and perform a thorough eye and eyelid examination which includes checking the visual acuity, refractive error, and extraocular movements. The doctors will also examine the size of palpebral apertures or the space between the canthi and eyelid elevation to diagnose the condition.

Providers may also look for other conditions that may affect the eyelids, such as ptosis, which would need to be reported with other codes for correct billing purposes. It is important to assign the correct code for these conditions, as certain procedures and treatments may depend on the code assigned. Treatment for blepharophimosis of the right lower eyelid may include surgery to improve the distance between the eyelids.

Additionally, there is another code, Q10.3, for Other congenital malformations of eyelid, which includes congenital blepharophimosis. If in doubt about which code to apply, it’s best to consult with an ophthalmologist or other medical professional who can provide guidance.

In summary, when assigning the ICD 10 CM H02.522 code, medical coders should understand the difference between blepharophimosis and ankyloblepharon. They should also look for any accompanying conditions, such as ptosis, and assign additional codes as needed. Accurate coding is essential to ensure accurate billing and appropriate treatment for patients with these conditions.