Find information on Meibomian Gland Dysfunction diagnosis, including clinical documentation, medical coding, ICD-10 codes H04.12 and H04.129, treatment options, and dry eye syndrome management. Learn about MGD symptoms, blepharitis, posterior blepharitis, and anterior blepharitis for accurate healthcare records. Explore resources for ophthalmology, optometry, and eye care professionals seeking guidance on MGD diagnosis and coding best practices.
Also known as
Disorders of eyelids and lacrimal system
Covers various eyelid and tear gland issues, including MGD.
Diseases of the eye and adnexa
Broad category encompassing all eye and surrounding tissue diseases.
Conjunctivitis
Inflammation of the conjunctiva, often associated with MGD.
Keratitis
Corneal inflammation, sometimes a complication of untreated MGD.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the Meibomian Gland Dysfunction inflamed?
Yes
Is it posterior blepharitis?
No
Is it obstructive?
When to use each related code
| Description |
|---|
| Meibomian gland blockage or inflammation |
| Inflammation of eyelid margin, often with MGD. |
| Dry eye disease (general) |
Coding MGD without specifying right, left, or bilateral eye can lead to claim denials and inaccurate data reporting. Use ICD-10-CM laterality codes.
Documentation must support the specific MGD diagnosis (e.g., mild, moderate, severe). Inconsistent coding of severity impacts reimbursement.
Coding suspected or probable MGD without definitive diagnostic confirmation can cause audit issues. Look for clear diagnostic statements.
Patient presents with symptoms consistent with Meibomian Gland Dysfunction (MGD). Symptoms include dry eye, eye irritation, burning sensation, foreign body sensation, blurry vision, and intermittent ocular discomfort. Examination reveals eyelid margin erythema, telangiectasia, meibomian gland orifice plugging with inspissated secretions, and altered meibum quality expressed upon palpation. Meibography, if performed, may demonstrate gland dropout. Tear film instability was noted with a reduced tear break-up time. Diagnosis of MGD is made based on clinical findings and patient-reported symptoms. Differential diagnoses considered include blepharitis, allergic conjunctivitis, and dry eye syndrome not specifically attributed to MGD. Treatment plan includes warm compresses, lid hygiene with eyelid cleansers, and potential in-office procedures such as BlephEx or LipiFlow depending on the severity of the MGD. Patient education provided on the chronic nature of MGD and the importance of consistent long-term management. Follow-up scheduled to monitor treatment response and adjust management as needed. ICD-10 code H04.123 (other meibomian gland dysfunction) is assigned.