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. The 2022 edition of ICD-10-CM H16. 149 became effective on October 1, 2021.What is the ICD-10 code for superficial punctate keratitis?
ICD-10-CM Code for Punctate keratitis, bilateral H16. 143.
Is punctate keratitis?
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.
Is punctate keratitis serious?
Punctate keratitis, corneal epithelial defects (Fig. 91-3) and primary conjunctival wound leaks are the most common complications of postoperative 5-FU injections. Although the corneal epithelium usually recovers, some serious damage has occurred in eyes with pre-existing corneal diseases.
What does SPK mean in ophthalmology?
Superficial punctate keratopathy (SPK) appears as irregularities in the squamous epithelium of the cornea that stain with NaFl or Rose Bengal. The staining can range from individual, tiny dots located diffusely over the surface of the cornea to more confluent arrangements of staining in specific patterns.Dec 1, 2018
How is superficial punctate keratitis treated?
Diagnosis is by history, presence of superficial punctate keratitis, and absence of a foreign body or infection. Treatment consists of an antibiotic ointment (eg, bacitracin or gentamicin 0.3% ointment every 8 hours) and occasionally a short-acting cycloplegic drug (eg, cyclopentolate 1% drop every 4 hours).
What causes punctate epithelial erosions?
Acute bacterial conjunctivitis. Trauma. Exposure keratopathy from poor eyelide closure. Ultraviolet or chemical burn.
Is thygeson's an autoimmune disease?
Dr Philips Thygeson first reported TSPK in 1950. Although the etiology of TSPK remains unknown, it has been reported to be associated with viral and autoimmune pathologies. The disease course is characterized by exacerbations and remissions.
What is PUK in eyes?
Peripheral ulcerative keratitis (PUK) is a form of unilateral crescent-shaped stromal inflammation, which involves the juxtalimbal cornea and is characterized by sectorial thinning of the affected area. It is always associated with an overlying epithelial defect and progressive loss of the corneal stroma (Figure 1A).May 14, 2012
Is punctate keratitis dry eye?
Abstract: Ocular surface damage is a major characteristic of dry eye syndrome. Ocular surface damage caused from dry eye refers to that there is superficial punctate keratitis (SPK), or also called the punctate dots, on the ocular surface.Oct 21, 2019
What does a punctate lesion of the cornea look like?
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.Mar 30, 2019
What is corneal stippling?
An abnormal stippling of the corneal epithelium that stains when fluorescein dye is instilled in the eye. It may be caused by desiccation, solution sensitivity, deposits on the contact lens, hypoxia, mechanical irritation, or infection.
What are Subepithelial infiltrates?
The subepithelial infiltrates resulting from adenoviral keratoconjunctivitis are thought to represent a delayed hypersensitivity immune response to viral antigens in the corneal stroma. 11. The infiltrates are corticosteroid-sensitive and often resolve in weeks to months after initial presentation.Apr 16, 2004
Specific Coding for Punctate keratitis
Non-specific codes like H16.14 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for punctate keratitis:
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code H16.14 are found in the index:
Information for Patients
Your cornea is the outermost layer of your eye. It is clear and shaped like a dome. The cornea helps to shield the rest of the eye from germs, dust, and other harmful matter. It also helps your eye to focus. If you wear contact lenses, they float on top of your corneas.
What is the outermost layer of the eye?
Your cornea is the outermost layer of your eye. It is clear and shaped like a dome. The cornea helps to shield the rest of the eye from germs, dust, and other harmful matter. It also helps your eye to focus. If you wear contact lenses, they float on top of your corneas. Problems with the cornea include.
What is the GEM crosswalk?
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H16.141 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
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