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2025 ICD-10-CM code H16.2

Keratoconjunctivitis is the simultaneous inflammation of the cornea and the conjunctiva of the eye.

If a specific cause of the keratoconjunctivitis is identified (e.g., bacterial, viral, allergic), it should be coded in addition to H16.2.External cause codes (V00-Y99) may be used to identify external factors contributing to the condition.

Medical necessity for the evaluation and treatment of keratoconjunctivitis is established by the presence of signs and symptoms, such as eye redness, pain, discharge, photophobia, or decreased vision, which impact the patient's visual function and quality of life.

Diagnosis and management of keratoconjunctivitis falls under the purview of ophthalmologists and optometrists. They are responsible for determining the underlying cause, providing appropriate treatment, and monitoring the patient's response to therapy.

In simple words: Keratoconjunctivitis means both the front surface of your eye (cornea) and the lining of your eyelids (conjunctiva) are inflamed.This can make your eye red, painful, itchy, and sensitive to light.It might feel like there's something in your eye.

Keratoconjunctivitis refers to the combined inflammation of the cornea and the conjunctiva.It can have various causes, including infection, allergy, or exposure to irritants.Types include exposure keratoconjunctivitis, neurotrophic keratoconjunctivitis, phlyctenular keratoconjunctivitis, and ophthalmia nodosa.

Example 1: A patient presents with red, watery eyes, blurry vision, and a gritty sensation. Upon examination, the physician diagnoses viral keratoconjunctivitis., A patient with a history of atopic dermatitis develops severe itching, redness, and photophobia.Examination reveals corneal involvement, leading to a diagnosis of allergic keratoconjunctivitis., A patient complains of eye pain and decreased vision after prolonged exposure to welding arc without proper eye protection.The diagnosis is exposure keratoconjunctivitis.

Documentation should include a detailed history of the present illness, including the onset, duration, and character of symptoms.A thorough eye exam should be documented, noting any redness, discharge, corneal lesions, or visual acuity changes.The cause of the keratoconjunctivitis, if determined, should be documented, along with any diagnostic tests performed (e.g., cultures, allergy testing).

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