2019 Ophthalmology ICD-10-CM Codes

by Danielle Zarnowiec, MBA | Oct 15, 2018 | ,

A Quick Reference Guide for ICD-10 Updates

With the new ICD-10 updates that went into effect on October 1, 2018, we wanted to examine a few specific ophthalmology code changes from 2018 to 2019.

“The 2019 ICD-10-CM updates primarily affect oculoplastic specialists. The improved documentation of diseases of the lids and face are much more specific. For example, treating a patient with Paralytic Lagophthalmos can be documented more specifically,” shared Dr. Michael Rivers, Director EMA™ Ophthalmology.

Lagophthalmos

To break down the changes on eyelid specific diagnoses, let’s look at “Paralytic Lagophthalmos.” For 2019, there are three new, additional Lagophthalmos codes used to specify when a patient has the same disease on multiple eyelids.  

Example: Paralytic Lagophthalmos (H02.23)

2018 ICD-10 “Paralytic Lagophthalmos (H02.23)”
4 location specific diagnoses
2019 ICD-10 “Paralytic Lagophthalmos (H02.23)”
7 location specific diagnoses
H02.231 - Right upper eyelidH02.231 - Right upper eyelid
H02.232 - Right lower eyelidH02.232 - Right lower eyelid
H02.234 - Left upper eyelidH02.234 - Left upper eyelid
H02.235 - Left lower eyelidH02.235 - Left lower eyelid
H02.23A - Right eye, upper and lower eyelids
H02.23B - Left eye, upper and lower eyelids
H02.23C - Bilateral, upper and lower eyelids

Blepharitis and Meibomian Gland Dysfunction

Blepharitis and Meibomian Gland Dysfunction diagnoses also have new ICD-10 codes to specify diseases affecting multiple eyelids. Unlike Lagophthalmos, these new eyelid combination codes do not have a code for bilateral eyes with upper and lower eyelids. It only has codes for “right eye, upper and lower lids” and “left eye, upper and lower lids.”

Example: H01.00 Unspecified blepharitis

2018 ICD-10 “H01.00 Unspecified blepharitis”
4 location specific diagnoses
2018 ICD-10 “H01.00 Unspecified blepharitis”
6 location specific diagnoses
H01.001 - Right upper eyelidH01.001 - Right upper eyelid
H01.002 - Right lower eyelidH01.002 - Right lower eyelid
H01.004 - Left upper eyelidH01.004 - Left upper eyelid
H01.005 - Left lower eyelidH01.005 - Left lower eyelid
H01.00A - Right eye, upper and lower eyelids
H01.00B - Left eye, upper and lower eyelids

Additional New 2019 Ophthalmology ICD-10 Codes

“Rosacea Conjunctivitis,” “Brow ptosis” and “Other specified disorders of eye and adnexa” are completely new diagnoses in 2019 ICD-10. They are listed below.

Paralytic ectropion of eyelid
H02.154 Paralytic ectropion of left upper eyelid
H02.155 Paralytic ectropion of left lower eyelid
H02.151 Paralytic ectropion of right upper eyelid
H02.152 Paralytic ectropion of right lower eyelid
Rosacea Conjunctivitis
Code first underlying rosacea dermatitis (L71.-)
H10.821 - Rosacea conjunctivitis, right eye
H10.822 - Rosacea conjunctivitis, left eye
H10.823 - Rosacea conjunctivitis, bilateral
H10.829 - Rosacea conjunctivitis, unspecified eye
Brow Ptosis
H57.811 - Brow ptosis, right
H57.812 - Brow ptosis, left
H57.813 - Brow ptosis, bilateral
H57.819 - Brow ptosis, unspecified
Other Specified Disorders of Eye and Adnexa
H57.89 - Other specified disorders of eye and adnexa

Want more on ICD-10? Visit our “2019 ICD-10 Changes” blog post for additional medical specialties updates and learn how our ophthalmology EHR, EMA, can help your practice.

Danielle Zarnowiec, MBA

Danielle Zarnowiec, MBA

Requirements Analyst

Danielle Zarnowiec joined Modernizing Medicine in October 2012 and in her current role she serves as the team lead for EMA’s Medical Coding Engine and RCM’s Intelligent Claims Engine.

Previously, Danielle was the owner and operator of a Revenue Cycle Management (RCM) company specializing in medical coding consulting, revenue cycle management and physician quality reporting.

Danielle earned a bachelor’s degree in business administration from St. Andrews University where she served as captain of the NCAA women’s soccer and tennis teams. She then graduated from Palm Beach Atlantic University with an MBA in international business.

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