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H00.016
ICD-10-CM
Stye Left Eye

Find information on stye left eye diagnosis, including clinical documentation, medical coding (ICD-10 H00.032), hordeolum externum, and treatment options. Learn about causes, symptoms, and differential diagnosis for a stye in the left eye. Explore resources for healthcare professionals on accurate medical record keeping and coding for this common eye condition. This resource provides information on left eye stye medical terminology, clinical findings, and best practices for patient care related to hordeolum.

Also known as

Hordeolum Left Eye
External Hordeolum Left Eye
Internal Hordeolum Left Eye

Diagnosis Snapshot

Key Facts
  • Definition : A red, painful lump near the edge of the eyelid caused by a bacterial infection.
  • Clinical Signs : Tender eyelid bump, swelling, redness, sometimes pus, light sensitivity.
  • Common Settings : Primary care, ophthalmology, optometry, urgent care.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H00.016 Coding
H00-H59

Diseases of the eye and adnexa

Covers various eye conditions, including styes.

H00-H06

Disorders of eyelid, lacrimal system

Includes disorders affecting eyelids and tear production.

H00

Hordeolum and chalazion

Specifically relates to styes (hordeolum) and chalazia.

Code-Specific Guidance

Decision Tree for

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

Is the stye external?

  • Yes

    Is it a hordeolum?

  • No

    Is it a chalazion?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Stye Left Eye
Chalazion Left Eye
Blepharitis Left Eye

Documentation Best Practices

Documentation Checklist
  • Stye left eye: Document location, size, and appearance.
  • Record any associated symptoms: pain, redness, swelling.
  • Document any preceding trauma or eyelid manipulation.
  • Note any discharge: purulent, watery, or absent.
  • ICD-10 code H00.031: External hordeolum left eye.

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding right eye (H00.01) instead of left eye (H00.02) or unspecified (H00.00), impacting reimbursement and data accuracy. Relevant for medical coding audits and CDI.

  • Chalazion Miscoding

    Confusing stye (H00.02) with chalazion (H00.12) which are clinically distinct. Accurate documentation is crucial for correct coding and compliance.

  • Unspecified External Cause

    Missing external cause codes (e.g., W00-Y99) when applicable, such as trauma. Impacts injury tracking and healthcare data analysis. Important for medical coding and compliance audits.

Mitigation Tips

Best Practices
  • Warm compress: 10-15 min, 4x/day. ICD-10 H00.02, CDI: Location, laterality
  • Avoid touching/rubbing. Prevent spread, accurate coding. SNOMED CT 370008000
  • Gentle eyelid cleansing. Baby shampoo, water. Proper hygiene, prevent recurrence
  • No makeup, contact lenses. Reduce irritation, infection risk. ICD-10 H00.02, CDI: Cause
  • Pain relief: OTC NSAIDs. Document symptoms, medication, response. RxNorm

Clinical Decision Support

Checklist
  • Verify localized, painful eyelid swelling (ICD-10 H00.02)
  • Confirm redness, tenderness near lash follicle (SNOMED CT 443392005)
  • Rule out chalazion, cellulitis, other eye conditions
  • Document pus point, if present (for accurate coding)
  • Assess vision changes, if any, for patient safety

Reimbursement and Quality Metrics

Impact Summary
  • Stye Left Eye reimbursement: ICD-10 H00.031, CPT 67938 (incision and drainage) impacts accurate coding for maximum reimbursement.
  • Quality metrics: Timely treatment of H00.031 (Stye Left Eye) reduces complications, improving patient satisfaction scores.
  • Coding accuracy for Stye Left Eye (H00.031) impacts hospital reporting on infection rates and ophthalmologic service efficacy.
  • Proper documentation of Stye Left Eye diagnosis and treatment supports medical necessity for billing and reduces claim denials.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Hordoleum externum left eye ICD-10 H00.01
  • Document precise location, size
  • Rule out chalazion, blepharitis
  • Consider laterality, cause codes
  • External hordeolum left lower lid H00.012

Documentation Templates

Patient presents with complaints consistent with a stye left eye.  Symptoms include localized eyelid pain, redness, swelling, and tenderness to palpation of the left eyelid margin.  The patient reports a foreign body sensation and mild photophobia.  On examination, a small, erythematous, and tender nodule is observed on the left eyelid margin, consistent with a hordeolum externum.  Visual acuity is unaffected.  The preauricular lymph node is not palpable.  Diagnosis of stye left eyelid is made based on clinical presentation.  Differential diagnoses considered include chalazion, blepharitis, and dacryoadenitis.  Plan includes warm compresses applied to the affected eyelid for 10-15 minutes, four times daily.  Patient education provided on proper hygiene to prevent recurrence, including avoiding eye rubbing and sharing cosmetics.  Patient advised to return for follow-up if symptoms worsen or do not improve within one week.  No antibiotics or other medications prescribed at this time.  ICD-10 code H00.012 assigned.
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