2025 ICD-10-CM code T15.01XS
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Effects of foreign body entering through natural orifice (T15-T19) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Sequela of a foreign body in the cornea of the right eye.
Medical necessity is established by the presence of documented sequelae from a previous corneal foreign body injury in the right eye, leading to persistent symptoms or functional impairments (e.g., decreased visual acuity, recurrent corneal erosion). The impact on the patient's vision and quality of life must be clearly documented to justify the medical necessity of the visit and any related treatment.
The clinical responsibility for this code falls upon ophthalmologists or other eye care specialists who manage the sequelae of corneal foreign bodies. This includes assessing the patient's visual acuity, evaluating the extent of corneal damage, and managing any resulting complications such as scarring, infection, or vision impairment.Treatment may include medication, procedures to address corneal irregularities, or referral to other specialists if necessary.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- T15-T19 (Effects of foreign body entering through natural orifice)
In simple words: This code is used when someone has had a foreign object in their right eye's cornea (the clear front part) in the past, and now there are ongoing problems like scarring or blurry vision, even though the object has been removed.
This code signifies a late effect or complication resulting from a previous foreign body lodged in the cornea of the right eye.It indicates that the initial injury has resolved, but residual effects or complications remain.This could include scarring, persistent irritation, or visual impairment.Appropriate documentation should detail the history of the initial injury, the removal of the foreign body (if applicable), and the current symptoms and findings.
Example 1: A patient presents with persistent blurry vision in their right eye six months after a corneal foreign body was removed.The cornea shows significant scarring, impacting vision.Code T15.01XS is used to represent the sequela., A patient experienced a corneal foreign body injury to their right eye a year ago. The foreign body was successfully removed, but the patient now experiences recurrent corneal erosion and irritation in the same eye. T15.01XS is used to reflect the ongoing complication., A patient has a history of a corneal foreign body in their right eye.The initial injury is resolved, but they have developed a corneal scar that impacts their visual acuity.This ongoing visual impairment is coded with T15.01XS.Additional codes for the visual impairment would also be required.
Comprehensive documentation is essential, including the history of the initial injury, the date of the injury, the type of foreign body, the date of its removal (if applicable), the methods used for removal, any associated treatments, current symptoms (pain, visual disturbances, irritation), visual acuity assessment, and a detailed description of any corneal abnormalities (scars, ulcers, etc.) observed during the examination.
- Payment Status: Active
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center