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H00.013
ICD-10-CM
Stye Right Eye

Find information on stye right eye diagnosis, including clinical documentation, ICD-10 code H00.01, medical coding, and treatment options. Learn about hordeolum externum, eyelid inflammation, and proper healthcare guidelines for managing a stye in the right eye. Explore symptoms, causes, and when to seek medical advice for a right eye stye.

Also known as

Hordeolum Right Eye
Eyelid Infection Right Eye

Diagnosis Snapshot

Key Facts
  • Definition : A red, painful bump on the eyelid edge caused by a bacterial infection.
  • Clinical Signs : Tender, swollen, red bump near eyelashes, sometimes with pus.
  • Common Settings : Primary care, ophthalmology, optometry

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H00.013 Coding
H00-H59

Diseases of the eye and adnexa

Covers various eye conditions including styes.

H00-H06

Disorders of eyelid, lacrimal system

Includes infections and inflammation of the eyelids.

H00

Hordeolum and chalazion

Specifically relates to styes and chalazia.

Code-Specific Guidance

Decision Tree for

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

Is the stye internal (inside eyelid)?

  • Yes

    Code H00.031 Hordeolum internum right eye

  • No

    Is the stye external?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Stye Right Eye
Chalazion Right Eye
Inflammation of eyelid margin. Right eye affected. Anterior or posterior, may accompany stye.

Documentation Best Practices

Documentation Checklist
  • Stye Right Eye diagnosis: Document laterality
  • External hordeolum, eyelid margin location
  • Symptoms: Redness, swelling, tenderness
  • Rule out chalazion, blepharitis, cellulitis
  • ICD-10 code H00.01: Validate code selection

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding the stye on the left eye instead of the right, leading to inaccurate data and claims.

  • Unspecified Stye Coding

    Using a generic stye code (H00.0) instead of a more specific one (H00.1) if clinical documentation supports it, impacting reimbursement.

  • Chalazion Miscoding

    Coding a chalazion (H00.1) as a stye (H00.0) or vice versa, resulting in inaccurate reporting and potential compliance issues.

Mitigation Tips

Best Practices
  • Warm compresses 10-15 min, 4x/day. ICD-10: H00.01, SNOMED: 37577009
  • Avoid touching/rubbing eye. Prevent infection spread. CDI query: laterality
  • Gentle eyelid cleansing with baby shampoo. Proper documentation for compliance
  • Discard makeup, contact lenses to prevent reinfection. H00.01 diagnosis coding
  • Over-the-counter pain relievers PRN. Monitor for cellulitis. SNOMED CT: 46058000

Clinical Decision Support

Checklist
  • Confirm localized, painful eyelid swelling, redness (ICD-10 H00.01)
  • Rule out chalazion, cellulitis, other ocular infections (SNOMED CT)
  • Assess for tenderness, purulent discharge (Document findings)
  • Consider warm compresses for symptomatic relief (Patient education)

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement and Quality Metrics Impact Summary: Stye Right Eye
  • ICD-10: H00.01, CPT: Incision and drainage if needed (e.g., 67938)
  • Medical Billing: Accurate coding crucial for proper claim processing.
  • Coding Accuracy: Impacts physician reimbursement and reduces denials.
  • Hospital Reporting: Affects infection tracking and ophthalmology quality metrics.
  • Impact 1: Accurate coding maximizes reimbursement for H00.01.
  • Impact 2: Precise documentation minimizes claim denials for stye procedures.
  • Impact 3: Proper coding influences ophthalmology quality reporting.

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.

Quick Tips

Practical Coding Tips
  • Code H00.01 for stye right eyelid
  • External hordeolum ICD-10 H00.01
  • Document precise location, avoid ambiguity
  • Rule out chalazion, use H00.1 if needed
  • Consider laterality: right eye is crucial

Documentation Templates

Patient presents with a localized, erythematous, tender swelling consistent with a stye on the right eyelid margin.  Symptoms include right eye pain, eyelid swelling, foreign body sensation, and mild tearing.  On examination, a focal, yellowish, pointing pustule is observed on the right upper eyelid margin near the eyelash follicle.  Diagnosis of hordeolum externum, right eye, is made.  Differential diagnoses considered include chalazion, blepharitis, and preseptal cellulitis.  The patient denies any visual changes, fever, or systemic symptoms.  Visual acuity remains unaffected.  Treatment plan includes warm compresses applied to the affected eyelid for 10-15 minutes, four times daily.  Patient education provided regarding proper eyelid hygiene, including avoiding rubbing the eye and refraining from the use of eye makeup until resolution.  Follow-up recommended in one week if symptoms persist or worsen.  ICD-10 code H00.011 will be used for medical billing and coding purposes.  SNOMED CT code 372055003 can also be used for clinical documentation in the electronic health record. This documentation supports medical necessity for the prescribed treatment.