Dry Eyes ICD-10-CM Codes

Explore ICD-10-CM codes for dry eyes. Learn about common codes, and billable statuses, and gain clinical insights in this comprehensive guide.

By Nate Lacson on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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Dry Eyes ICD-10-CM Codes

What ICD-10 Codes are Used for Dry Eyes

Dry eyes, a common ocular condition characterized by insufficient tear production or poor tear quality, are classified by specific ICD-10-CM codes. Here are ten commonly used codes for this condition, along with brief clinical descriptions:

H04.11 - Dry eye syndrome right eye, not specified as Sjögren's: Used for dry eye syndrome in the right eye, not specified as Sjögren's syndrome.

H04.12 - Dry eye syndrome left eye, not specified as Sjögren's: Applied for dry eye syndrome in the left eye, not specified as Sjögren's syndrome.

H04.13 - Dry eye syndrome bilateral, not specified as Sjögren's: Utilized for dry eye syndrome in both eyes, not specified as Sjögren's syndrome.

H04.111 - Dry eye syndrome right eye, not specified as Sjögren's, mild: Used when dry eye syndrome in the right eye is of mild severity, not specified as Sjögren's syndrome.

H04.112 - Dry eye syndrome left eye, not specified as Sjögren's, mild: Applied for mild dry eye syndrome in the left eye, not specified as Sjögren's syndrome.

H04.113 - Dry eye syndrome bilateral, not specified as Sjögren's, mild: Utilized for mild dry eye syndrome in both eyes, not specified as Sjögren's syndrome.

H04.119 - Dry eye syndrome right eye, not specified as Sjögren's, unspecified severity: Used when dry eye syndrome in the right eye has unspecified severity, not defined as Sjögren's syndrome.

H04.12A - Dry eye syndrome left eye, not specified as Sjögren's, severe: Applied for severe dry eye syndrome in the left eye, not specified as Sjögren's syndrome.

H04.13B - Dry eye syndrome bilateral, not specified as Sjögren's, moderate: Utilized for moderate dry eye syndrome in both eyes, not specified as Sjögren's syndrome.

H04.13C - Dry eye syndrome bilateral, not specified as Sjögren's, severe: Used for severe dry eye syndrome in both eyes, not specified as Sjögren's syndrome.

Which Dry Eyes ICD Codes are Billable

The billable status of the mentioned ICD-10 codes for dry eyes varies:

H04.11 - Dry eye syndrome right eye, not specified as Sjögren's: Yes, billable. Medical expenses related to dry eye syndrome in the right eye can be claimed.

H04.12 - Dry eye syndrome left eye, not specified as Sjögren's: Yes, billable. Costs associated with dry eye syndrome in the left eye can be reimbursed.

H04.13 - Dry eye syndrome bilateral, not specified as Sjögren's: Yes, billable. Medical expenses for dry eye syndrome in both eyes can be claimed.

H04.111 - Dry eye syndrome right eye, not specified as Sjögren's, mild: Yes, billable. Expenses related to mild dry eye syndrome in the right eye can be claimed.

H04.112 - Dry eye syndrome left eye, not specified as Sjögren's, mild: Yes, billable. Costs associated with mild dry eye syndrome in the left eye can be reimbursed.

H04.113 - Dry eye syndrome bilateral, not specified as Sjögren's, mild: Yes, billable. Medical expenses for mild dry eye syndrome in both eyes can be claimed.

H04.119 - Dry eye syndrome right eye, not specified as Sjögren's, unspecified severity: Yes, billable. Expenses for dry eye syndrome in the right eye with unspecified severity can be reimbursed.

H04.12A - Dry eye syndrome left eye, not specified as Sjögren's, severe: Yes, billable. Medical expenses related to severe dry eye syndrome in the left eye can be claimed.

H04.13B - Dry eye syndrome bilateral, not specified as Sjögren's, moderate: Yes, billable. Costs associated with mild dry eye syndrome in both eyes can be reimbursed.

H04.13C - Dry eye syndrome bilateral, not specified as Sjögren's, severe: Yes, billable. Expenses for severe dry eye syndrome in both eyes can be claimed.

Clinical Information

  • Dry eyes, or dry eye syndrome, is a common eye condition characterized by insufficient tear production or poor tear quality.
  • Symptoms include a gritty or sandy feeling in the eyes, burning or stinging sensations, redness, and blurred vision.
  • Evaluation involves a detailed patient history, including factors that may contribute to dry eyes, such as medications or environmental conditions.
  • Clinical tests, including the Schirmer and tear breakup time (TBUT), can measure tear production and stability.
  • Management includes artificial tears or lubricating eye drops to relieve symptoms and maintain eye moisture.
  • Lifestyle modifications, such as using a humidifier, avoiding eye irritants, and taking breaks during prolonged screen use, can help manage dry eyes.
  • For severe or persistent cases, prescription medications like cyclosporine or punctal plugs to block tear drainage may be considered.
  • Management plans should be tailored to the individual patient, considering the underlying cause and severity of dry eyes.
  • Patients with chronic dry eyes may require regular follow-up to assess treatment effectiveness and adjust management as needed.
  • Educating patients on proper eye care and the chronic nature of dry eyes is essential for long-term management and symptom relief.

Synonyms Include

  • Keratoconjunctivitis Sicca
  • Dry Eye Syndrome
  • Ocular Surface Disease
  • Tear Film Dysfunction
  • Evaporative Dry Eye
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Commonly asked questions

Can dry eyes be cured?

While dry eyes cannot always be cured, they can often be managed effectively with treatments such as artificial tears, lifestyle changes, and medications. The goal is to relieve symptoms and improve eye comfort.

What are the common risk factors for dry eyes?

Common risk factors for dry eyes include aging, hormonal changes (particularly in women), environmental factors (such as low humidity and exposure to wind or smoke), certain medical conditions (like autoimmune diseases), and the use of certain medications.

Are there any complications associated with untreated dry eyes?

Yes, untreated dry eyes can lead to complications such as corneal damage, increased risk of eye infections, and impaired vision. It's essential to seek treatment and manage dry eye symptoms to prevent these complications.

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