2025 ICD-10-CM code H16.22
(Valid) Effective Date: N/A Diseases of the eye and adnexa - Disorders of sclera, cornea, iris and ciliary body 7 Feed
Keratoconjunctivitis sicca, not specified as Sjogren's.
Medical necessity for treatment is established based on the severity of symptoms, impact on visual function, and presence of complications.
Diagnosis and treatment of keratoconjunctivitis sicca.
In simple words: Dry eye condition not related to Sjogren's syndrome.
Keratoconjunctivitis sicca, not specified as Sjogren's.
Example 1: A patient presents with complaints of dry eyes, foreign body sensation, and blurred vision. Upon examination, the ophthalmologist diagnoses keratoconjunctivitis sicca, but further testing rules out Sjogren's syndrome. The diagnosis is coded as H16.22., A 60-year-old female with a history of rheumatoid arthritis complains of persistent dry eyes. After a thorough ophthalmological evaluation, she is diagnosed with keratoconjunctivitis sicca, which is determined to be unrelated to Sjogren's syndrome. Code H16.22 is used., A patient undergoing chemotherapy experiences severe dry eye as a side effect. The ophthalmologist confirms the diagnosis of keratoconjunctivitis sicca, not associated with Sjogren's syndrome. The condition is documented with code H16.22.
Symptoms, clinical findings, and exclusion of Sjogren's syndrome should be clearly documented in the medical record. Laterality should also be specified, if applicable, using H16.221 for the right eye, H16.222 for the left eye, or H16.223 for both eyes.
** Excludes1: Sjögren's syndrome (M35.01)
- Payment Status: Active
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital