2018/2019 ICD-10-CM Diagnosis Code H16.149. Punctate keratitis, unspecified eye. H16.149 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Punctate keratitis, right eye 2016 2017 2018 2019 2020 2021 Billable/Specific Code H16.141 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM H16.141 became effective on October 1, 2020.
Answer: Superficial keratectomy is 65435 Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage). This code bundles in 92071 so the BCL is not separately billable.
H16.14 Punctate keratitis H16.141 …… right eye H16.142 …… left eye H16.143 …… bilateral H16.149 …… unspecified eye 1 H16.141 …… right eye 2 H16.142 …… left eye 3 H16.143 …… bilateral 4 H16.149 …… unspecified eye
149: Punctate keratitis, unspecified eye.
Superficial punctate keratitis is an eye disorder caused by death of small groups of cells on the surface of the cornea (the clear layer in front of the iris and pupil). The eyes become red, watery, and sensitive to light, and vision may decrease somewhat.
The punctate epithelial keratitis (PEK) is a distinct clinical entity characterized by coarse, raised intraepithelial lesions surrounded by focal inflammatory cells, with punctate staining as well as areas of negative staining on fluorescein. PEK is often a clinical picture common to various cornea pathologies.
Unspecified superficial keratitis, unspecified eye H16. 109 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 H16. 109 became effective on October 1, 2021.
Superficial keratectomy (SK) is the removal of the corneal epithelium down to the level of Bowman membrane. In this case, it was performed to remove an area of central reduplicated epithelial basement membrane causing irregular astigmatism in a patient with epithelial basement membrane dystrophy (EBMD).
Superficial punctate keratitis (SPK) is a hallmark of corneal epithelial abnormalities. Because s-BUT dry eye sometimes lacks SPK, it satisfies only two of the diagnostic criteria (i.e., dry eye symptoms and tear abnormalities).
This problem appears as fine, scattered areas of loss of epithelium from the cornea - the clear part of the surface of the eye. The lesions appear punctate (looking like dots or points) but sometimes can appear dendritic (linear and branching). Superficial punctate keratitis is uncommon and not communicable.
Punctate epithelial erosions (PEE) are evidence of ocular surface dryness. They represent areas of epithelial cell loss and therefore stain positively with fluorescein. The distribution of the PEE can provide information regarding the underlying etiology.
Acute bacterial conjunctivitis. Trauma. Exposure keratopathy from poor eyelide closure. Ultraviolet or chemical burn.
While code 65400 [Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium] does also describe a superficial keratectomy, the purpose is for removal of a corneal lesion. In your case, code 65435 sounds more appropriate since a corneal erosion is being treated.
Keratitis is an inflammation of the cornea — the clear, dome-shaped tissue on the front of your eye that covers the pupil and iris. Keratitis may or may not be associated with an infection.
Bacterial keratitis is an infection of the cornea (the clear dome covering the colored part of the eye) that is caused by bacteria. It can affect contact lens wearers, and also sometimes people who do not wear contact lenses.
The ICD code H161 is used to code Photokeratitis. Photokeratitis or ultraviolet keratitis is a painful eye condition caused by exposure of insufficiently protected eyes to the ultraviolet (UV) rays from either natural (e.g. intense sunlight at high altitudes) or artificial (e.g. the electric arc during welding) sources.
H16.14. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code H16.14 is a non-billable code.