2025 ICD-10-CM code H11.233
(Active) Effective Date: N/A Diseases of the eye and adnexa - Disorders of conjunctiva 7 Feed
Symblepharon, bilateral.
Medical necessity for treatment of symblepharon is established by the presence of symptoms such as restricted eye movement, pain, discomfort, or impaired vision resulting from the adhesions. The severity of the condition and its impact on the patient's quality of life are also considered.
Diagnosis and treatment of symblepharon typically falls under the purview of an ophthalmologist.
In simple words: This code indicates scarring that causes adhesion between the lining of your eyelid and the lining of your eyeball in both eyes.
Symblepharon is an eye condition characterized by the adhesion of the conjunctiva of the eyelid to the conjunctiva of the eyeball.The code H11.233 specifies that this condition affects both eyes (bilateral).
Example 1: A patient presents with complaints of limited eye movement and discomfort in both eyes following a chemical burn. Examination reveals adhesions between the palpebral and bulbar conjunctiva of both eyes, consistent with symblepharon., A patient with a history of Stevens-Johnson syndrome experiences recurrent episodes of inflammation and scarring in both eyes.The ophthalmologist notes the presence of symblepharon, impacting the patient's vision and comfort., Following surgery for removal of a conjunctival tumor, a patient develops symblepharon in both eyes as a complication. The adhesions restrict eye movement and cause irritation.
Documentation should include a detailed description of the adhesion's location and extent, the impact on eye movement, associated symptoms, and any prior trauma, surgery, or underlying conditions contributing to the symblepharon.Photographs may be helpful for visual documentation.
** Excludes1: keratoconjunctivitis (H16.2-)
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital