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2025 ICD-10-CM code H02.1

Ectropion of eyelid.

Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the ectropion.

Medical necessity for ectropion treatment is established by the presence of symptoms and/or complications arising from the eyelid malposition. These may include excessive tearing, dryness, irritation, recurrent infections, corneal exposure, or impaired vision.

Diagnosis and treatment of ectropion typically falls under the purview of ophthalmologists and optometrists. They perform eye exams, assess the severity of the condition, and recommend appropriate treatment, which may include conservative measures like artificial tears and lubricants, or surgical intervention to correct the eyelid position.

In simple words: Ectropion is a condition where your eyelid turns outwards, exposing the inner surface. This can cause your eyes to become dry, irritated, and watery.

Ectropion is a condition characterized by the outward turning of the eyelid margin, most commonly affecting the lower eyelid. This can lead to exposure of the conjunctiva and cornea, resulting in dryness, irritation, excessive tearing, and increased risk of infection.

Example 1: A 70-year-old patient presents with a drooping lower eyelid, excessive tearing, and eye irritation. Upon examination, the eyelid margin is turned outward, consistent with involutional ectropion. Lubricating eye drops are prescribed initially, but surgical correction is considered due to persistent symptoms., A 45-year-old patient with a history of facial burns experiences ectropion due to scar tissue contraction (cicatricial ectropion). Surgical intervention involving skin grafting is planned to address the eyelid malposition and restore proper function., A patient with Bell's palsy experiences facial nerve paralysis, leading to paralytic ectropion.Treatment focuses on managing the underlying palsy, with artificial tears and eye protection used to address ectropion symptoms.Surgical correction might be considered once the palsy resolves.

Documentation should include the type of ectropion (involutional, cicatricial, paralytic, mechanical, congenital), laterality (right, left, bilateral), the severity of the ectropion, associated symptoms (e.g., tearing, dryness, irritation, discharge), any prior treatments, and the planned treatment approach.Photographs can be helpful.

** Congenital ectropion is reported with Q10.1.

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