2025 ICD-10-CM code H10.813
(Valid) Effective Date: N/A Disorders of conjunctiva - Other disorders of conjunctiva Diseases of the eye and adnexa (H00-H59) Feed
Pingueculitis of both eyes.
Medical necessity is established by the presence of symptoms such as redness, irritation, foreign body sensation, or impaired vision due to the inflamed pingueculae.
The clinician's role includes diagnosis through eye examination, possibly using a slit lamp. Treatment might involve lubricating eye drops, steroid eye drops, or nonsteroidal anti-inflammatory drugs. Surgical removal is considered in severe cases affecting vision, contact lens use, or blinking.
In simple words: Inflammation of a small, raised bump on the white part of both eyes, near the colored part.
Pingueculitis, bilateral. This condition involves inflammation of a pinguecula, a yellowish, raised growth on the conjunctiva. It typically occurs on both eyes and is often associated with environmental factors such as sun exposure.
Example 1: A 50-year-old patient presents with bilateral, yellowish bumps on the conjunctiva, experiencing redness, irritation, and a foreign body sensation in both eyes. Diagnosis: H10.813., A 30-year-old surfer complains of red, irritated eyes with visible raised lesions on the nasal side of both eyes.Upon examination, the lesions are diagnosed as inflamed pingueculae, hence coded as H10.813., A 70-year-old with a history of sun exposure reports bilateral eye discomfort. Examination shows yellowish, elevated masses on the conjunctiva of both eyes, inflamed and irritated. Code: H10.813.
Documentation should include laterality (both eyes affected), presence of inflammation, symptoms (e.g., redness, irritation, foreign body sensation), and any associated factors (e.g., sun exposure, dry eye).
- Specialties:Ophthalmology, Optometry
- Place of Service:Office