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2025 ICD-10-CM code H11.231

Symblepharon of the right eye.

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

Medical necessity for treatment of symblepharon is established when the condition significantly impairs eye function, causes pain or discomfort, or poses a risk of further complications. Treatment aims to restore normal ocular motility, alleviate symptoms, and prevent vision loss.

Diagnosis and treatment of symblepharon typically fall under the purview of ophthalmologists. They are trained to evaluate the extent of the adhesion, identify underlying causes, and determine appropriate management strategies, which may include surgical intervention, medical therapies, or a combination of both.

In simple words: This code represents an adhesion of the eyelid's lining to the surface of the eyeball on the right side.

Symblepharon is a condition characterized by adhesions between the palpebral and bulbar conjunctiva, typically caused by chemical burns, trauma, or severe inflammation. It involves an adhesion of the conjunctiva of the eyelid to the eyeball.

Example 1: A patient presents with restricted eye movement and discomfort in their right eye following a chemical splash. Examination reveals adhesion between the eyelid lining and the eyeball, consistent with symblepharon., A patient with a history of Stevens-Johnson syndrome experiences recurrent eye irritation. Examination shows conjunctival adhesions and scarring in the right eye, confirming symblepharon as a sequela of the previous condition., Following trauma to the right eye, a patient develops symblepharon. The adhesion restricts ocular motility and causes discomfort, prompting surgical intervention to release the adhesion and improve eye function.

Documentation should include a detailed description of the adhesion's location, extent, and impact on eye movement. The cause of the symblepharon should also be documented, along with any associated symptoms like pain, discomfort, or vision changes.

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