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H10.31
ICD-10-CM
Conjunctivitis Right Eye

Conjunctivitis Right Eye (Pink Eye Right Eye) diagnosis, clinical documentation, and medical coding information for healthcare professionals. Learn about Ocular Conjunctivitis Right Eye symptoms, ICD-10 codes, treatment, and best practices for accurate medical records. Find resources for proper diagnosis coding and documentation of Conjunctivitis in the right eye.

Also known as

Pink Eye Right Eye
Ocular Conjunctivitis Right Eye

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of the conjunctiva (clear membrane covering the white part) of the right eye.
  • Clinical Signs : Redness, itching, tearing, discharge, burning sensation, gritty feeling, swollen eyelids.
  • Common Settings : Viral or bacterial infection, allergies, irritants (e.g., dust, smoke, chlorine).

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H10.31 Coding
H10-H10

Conjunctivitis

Inflammation or infection of the membrane lining the eyelids and covering the eyeball.

H16-H16

Keratoconjunctivitis

Combined inflammation of the cornea and conjunctiva.

B30-B34

Viral conjunctivitis

Conjunctivitis caused by various viral infections.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the right eye conjunctivitis infectious?

  • Yes

    Viral or bacterial?

  • No

    Allergic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right eye inflammation, redness, discharge.
Left eye inflammation, redness, discharge.
Both eyes inflammation, redness, discharge.

Documentation Best Practices

Documentation Checklist
  • Document laterality: right eye affected.
  • Describe onset, duration, and symptoms (discharge, itching, redness).
  • Note any vision changes or photophobia.
  • Document pre-existing conditions or allergies.
  • Specify if infectious vs. allergic (e.g., bacterial, viral, allergen).

Coding and Audit Risks

Common Risks
  • Laterality Miscoding

    Incorrectly coding left, right, or bilateral eye, leading to inaccurate claims and potential denials. Relevant for medical coding audits and CDI.

  • Specificity Undercoding

    Coding general conjunctivitis instead of specific type (e.g., allergic, bacterial), impacting reimbursement and quality metrics. Crucial for healthcare compliance and CDI.

  • Causative Agent Omission

    Failing to document and code the underlying cause (e.g., infection, allergy) if known, affecting data accuracy and treatment planning. Important for medical coding and compliance.

Mitigation Tips

Best Practices
  • Good hand hygiene prevents conjunctivitis spread. ICD-10 H10.51, SNOMED CT 33109002
  • Avoid touching the infected eye to limit transmission. H10.51, SNOMED CT 33109002
  • Properly clean contact lenses and storage cases. H10.51, SNOMED CT 82452005
  • Discard eye makeup used during infection. CDI query for infection type. H10.51
  • Consult physician for diagnosis, treatment. Avoid self-treatment. H10.51

Clinical Decision Support

Checklist
  • Verify laterality: Right eye documented
  • Assess discharge: Purulent, watery, or mucoid?
  • Check lymphadenopathy: Preauricular, cervical nodes
  • Rule out vision changes: Blurring, diplopia

Reimbursement and Quality Metrics

Impact Summary
  • Conjunctivitis Right Eye reimbursement: Optimize ICD-10 H10.51 coding for maximum payment.
  • Coding accuracy impact: Precise H10.51 coding ensures proper claims processing and reduces denials.
  • Hospital reporting impact: Accurate conjunctivitis coding improves data quality for public health reporting.
  • Quality metrics impact: Correct diagnosis coding impacts ophthalmology quality metrics and performance benchmarks.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: What are the key differential diagnoses to consider when a patient presents with unilateral right eye conjunctivitis?

A: When a patient presents with conjunctivitis limited to the right eye, several differential diagnoses must be considered beyond simple bacterial or viral conjunctivitis. It's crucial to distinguish between infectious and non-infectious causes. Bacterial conjunctivitis typically presents with purulent discharge, while viral conjunctivitis often presents with watery discharge and may be associated with preauricular lymphadenopathy. However, unilateral presentation warrants consideration of other etiologies such as allergic conjunctivitis (consider asking about allergen exposure specific to the right eye or side of the face), chemical conjunctivitis (inquire about potential chemical splashes or irritants contacting only the right eye), dacryoadenitis (assess for lacrimal gland swelling and tenderness), or even corneal ulcers and foreign bodies (examine the cornea carefully for defects or embedded material). Explore how a detailed patient history and thorough slit-lamp examination can help pinpoint the specific cause and guide appropriate management. Consider implementing a standardized ophthalmic examination protocol for all patients presenting with red eye to ensure accurate and efficient diagnosis.

Q: How should I approach the management of acute bacterial conjunctivitis isolated to the right eye in an adult patient?

A: Managing acute bacterial conjunctivitis isolated to the right eye in an adult typically involves topical antibiotic therapy. While many cases resolve spontaneously, antibiotics can shorten the duration of symptoms and reduce the risk of transmission. Commonly prescribed antibiotic eye drops include fluoroquinolones (e.g., moxifloxacin, ofloxacin), aminoglycosides (e.g., tobramycin), or macrolides (e.g., azithromycin). The choice of antibiotic depends on local resistance patterns and patient-specific factors such as allergies. It is important to counsel patients on proper hygiene, including handwashing and avoiding touching the affected eye, to prevent further spread. If the patient wears contact lenses, they should discontinue use until the infection resolves. In cases of severe inflammation or lack of response to initial therapy, consider culturing the discharge to identify the causative organism and adjust treatment accordingly. Learn more about emerging antibiotic resistance patterns in bacterial conjunctivitis and how to optimize treatment strategies.

Quick Tips

Practical Coding Tips
  • Code H10.01 for right eye conjunctivitis
  • Document laterality, discharge details
  • Check for bacterial/viral etiology codes
  • Consider H10.41 if allergic
  • Exclude newborn conjunctivitis (P39.1)

Documentation Templates

Patient presents with signs and symptoms consistent with right eye conjunctivitis, also known as pink eye.  The patient reports ocular redness, itching, and a foreign body sensation in the right eye.  Examination reveals conjunctival injection, mild edema, and watery discharge in the affected eye.  No purulent discharge or preauricular lymphadenopathy is noted.  Visual acuity remains unaffected.  Diagnosis of acute conjunctivitis, right eye, is made based on clinical presentation.  Differential diagnoses considered include allergic conjunctivitis, bacterial conjunctivitis, and viral conjunctivitis.  Treatment plan includes warm compresses, artificial tears, and patient education regarding hygiene practices to prevent transmission.  Follow-up is recommended if symptoms worsen or do not improve within a week.  ICD-10 code H10.01 (acute conjunctivitis, right eye) and relevant CPT codes for the evaluation and management services provided will be documented for medical billing and coding purposes.  This documentation is compliant with EHR standards and includes key clinical findings for accurate diagnosis and treatment of conjunctivitis.
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