Code H02.8, Other specified disorders of eyelid, has been expanded and a new subcategory (H02.88-) created for Meibomian gland dysfunction of eyelid.
Meibomian gland dysfunction left lower eyelid. H02.885 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
This is the American ICD-10-CM version of H02.88 - other international versions of ICD-10 H02.88 may differ. injury (trauma) of eye and orbit ( S05.-)
Meibomitis is a chronic inflammation of the tiny oil glands that line your upper and lower eyelids. The meibomian glands release meibum, the special oil that helps lubricate your eyes and keep your tears from evaporating. When the meibomian glands are blocked, it changes the amount and composition of your meibum.
Because no CPT code currently exists for meibomian gland expression done in a non-surgical fashion, you have to use CPT code 92499 – Unlisted Ophthalmic Procedure to bill for it separately and distinctly.
Meibomian glands (also called tarsal glands, palpebral glands, and tarsoconjunctival glands) are sebaceous glands along the rims of the eyelid inside the tarsal plate. They produce meibum, an oily substance that prevents evaporation of the eye's tear film.
Meibomian glands are oil glands along the edge of the eyelids where the eyelashes are found. These glands make oil that is an important part of the eye's tears. The oily layer is the outside of the tear film that keeps tears from drying up too quickly. A number of eye problems can involve the meibomian glands.
A Medicare and commercial payers do not cover most treatments for MGD; they consider them too new and investigational or experimental.
Meibomian gland evacuation therapies (e.g., heat with intermittent pressure therapy; meibomian gland duct probing are investigative and unproven and therefore NOT COVERED.
A full description of the anatomy and physiology of the glands is provided in the Report of the Meibomian Gland Workshop published in 2011. The meibomian gland is a type of sebaceous gland and it is susceptible to disease entities that affect all sebaceous glands, such as seborrhea and rosacea.
Meibomian glands are the tiny oil glands which line the margin of the eyelids (the edges which touch when the eyelids are closed). These glands secrete oil which coats the surface of our eyes and keeps the water component of our tears from evaporating (drying out).
Blepharitis is inflammation of the glands along the upper and lower eyelid rims. These glands are called Meibomian glands and Meibomian gland dysfunction (MGD) is another name for blepharitis.
A chalazion is a less painful chronic infection on the inside edge of the eyelid (conjunctival side) affecting the Zeis or meibomian (oil-secreting) glands. Styes, or hordeola, are painful infected lesions on the edge of the eyelid (eyelash follicles) that come on quickly and eventually break open and drain.
Summary. Meibomian gland dysfunction is seen more often in people over age 50. Other risk factors include environmental stress, hormonal influences, wearing contact lenses, and some medications. Some genetic conditions are also linked to it.
Meibomian Gland Dysfunction (MGD) and dry eye are often grouped together since they have similar symptoms, such as itching, burning, and irritation. However, while dry eye is due to a lack of tears, MGD is due to a lack of oil production to protect the tears. This distinction is important when choosing a treatment.