Subcategory L03. 21, Cellulitis and acute lymphangitis of face, has been expanded to specifically identify periorbital cellulitis (L03. 213).
Preseptal cellulitis is an inflammation of the tissues localized anterior to the orbital septum. The orbital septum is a fibrous tissue that divides the orbit contents in two compartments: preseptal (anterior to the septum) and postseptal (posterior to the septum).
H05. 01 - Cellulitis of orbit | ICD-10-CM.
Periorbital cellulitis is an infection of the eyelid or skin around the eye. Periorbital cellulitis is an acute infection of the tissues surrounding the eye, which may progress to orbital cellulitis with protrusion of the eyeball. Complications include meningitis.
Periorbital cellulitis is also called preseptal cellulitis because it affects the structures in front of the septum, such as the eyelid and skin around the eye.
Preseptal cellulitis (periorbital cellulitis) is infection of the eyelid and surrounding skin anterior to the orbital septum. Orbital cellulitis is infection of the orbital tissues posterior to the orbital septum.
Preseptal cellulitis is usually not serious when treated right away. It can clear up quickly with antibiotics. However, if left untreated, it can lead to a more serious condition called orbital cellulitis.
Preseptal cellulitis is treated with oral antibiotics. Traditionally, amoxicillin-clavulanate has been commonly used as a first-line treatment. Third-generation cephalosporins, such as cefpodoxime and cefdinir, are also commonly used.
H05. 229 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H05. 229 became effective on October 1, 2021.
Periorbital cellulitis is nearly 10 times more common than orbital cellulitis. Your doctor can also distinguish between periorbital cellulitis and other conditions, such as allergic reactions and conjunctivitis (or pink eye), which also have symptoms of swollen, tender, inflamed eyes.
The well-known anatomical classification divides the face into: upper face, mid face and lower face. At the boundary between upper and mid face is the periorbital area which also contains three zones (Figure 1).
The differential diagnosis for painful, bilateral eye swelling is broad but commonly includes viral and bacterial conjunctivitis, allergic conjunctivitis, blepharitis, trauma, contact dermatitis, herpetic dermatitis, preseptal cellulitis, angioedema, eczema, and autoimmune diseases.
Preseptal cellulitis is usually not serious when treated right away. It can clear up quickly with antibiotics. However, if left untreated, it can lead to a more serious condition called orbital cellulitis.
Infections that are preseptal rarely result in serious complications, and some cases can lead to orbital cellulitis. A more common problem is the misdiagnosis of orbital cellulitis as periorbital cellulitis which leads to improper treatment.
Cellulitis of the eye is an infection of the skin and tissues around the eye. It is also called preseptal cellulitis or periorbital cellulitis. It is usually caused by bacteria. This type of infection may happen after a sinus infection or a dental infection.
With proper treatment and care, small patches of cellulitis can heal in around five or seven days. However, the healing process is largely influenced by the severity of your cellulitis as well as your current health condition. For example, severe cases of cellulitis can last for multiple weeks despite treatment.