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H11.30
ICD-10-CM
Subconjunctival Hemorrhage

Learn about subconjunctival hemorrhage diagnosis, including clinical documentation tips, ICD-10 code H11.3, medical billing guidelines, and differential diagnosis considerations. This resource provides information for healthcare professionals on proper coding, broken blood vessels in the eye, eye redness causes, and treatment for subconjunctival bleeding. Find details on patient education materials and best practices for managing this common eye condition.

Also known as

Conjunctival Hemorrhage
Eye Bleed
subconj heme
+2 more

Diagnosis Snapshot

Key Facts
  • Definition : Bleeding under the conjunctiva (thin membrane covering the eye).
  • Clinical Signs : Bright red, flat patch on the white of the eye. Usually painless.
  • Common Settings : Spontaneous, coughing, sneezing, straining, trauma.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H11.30 Coding
H11.3

Subconjunctival hemorrhage

Bleeding beneath the conjunctiva of the eye.

S05

Injury of eye and orbit

Includes various eye injuries, some of which can cause subconjunctival hemorrhage.

H59

Other disorders of eye and adnexa

A general category for eye disorders not classified elsewhere.

Code-Specific Guidance

Decision Tree for

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

Is the subconjunctival hemorrhage traumatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Blood under conjunctiva, no pain
Conjunctivitis (Pink Eye)
Episcleritis

Documentation Best Practices

Documentation Checklist
  • Document laterality (right, left, bilateral)
  • Describe hemorrhage size/location
  • Document onset, duration, associated symptoms
  • Exclude trauma, bleeding disorders, medications
  • Document visual acuity assessment

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (right, left, bilateral) for subconjunctival hemorrhage can lead to inaccurate billing and data analysis.

  • Traumatic vs. Spontaneous

    Failing to distinguish between traumatic and spontaneous subconjunctival hemorrhage affects coding accuracy and clinical documentation improvement (CDI).

  • Unspecified Diagnosis

    Using unspecified codes when more specific diagnosis information is available can impact reimbursement and healthcare compliance auditing.

Mitigation Tips

Best Practices
  • Document laterality (right, left, bilateral) for ICD-10 H11.3 coding accuracy.
  • Rule out trauma: Query for injury mechanism to ensure proper E code assignment.
  • If related to Valsalva maneuver, document underlying cause for CDI and compliance.
  • For anticoagulant use, specify medication and INR for improved risk adjustment.
  • Monitor and document resolution for accurate clinical picture and coding compliance.

Clinical Decision Support

Checklist
  • Confirm history of Valsalva maneuver, coughing, or trauma
  • Visual acuity unaffected, no pain or discharge
  • Homogenous, flat, sharply demarcated red area
  • Rule out other bleeding disorders if recurrent
  • No treatment needed, resolves spontaneously

Reimbursement and Quality Metrics

Impact Summary
  • Subconjunctival Hemorrhage Reimbursement: ICD-10 H11.3, CPT 99202-99215 (Evaluation and Management), optimize coding for maximum reimbursement.
  • Coding Accuracy Impact: Precise E/M coding crucial, avoid unspecified codes like H11.9, impacts RVUs and Case Mix Index.
  • Hospital Reporting Impact: Accurate H11.3 diagnosis affects quality metrics for eye-related conditions, influences resource allocation.
  • Quality Metrics Impact: Proper documentation of subconjunctival hemorrhage cause (trauma, hypertension) improves data analysis.

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
  • Code H11.3 for spontaneous SCH
  • Document laterality: OD, OS, OU
  • Exclude trauma: rule out H11.2
  • Query physician if cause unclear
  • Consider underlying conditions

Documentation Templates

Patient presents with a subconjunctival hemorrhage, characterized by bright red, well-demarcated bleeding under the conjunctiva.  Onset was [sudden or gradual], and the patient [denies or reports] associated symptoms such as eye pain, vision changes, discharge, or foreign body sensation.  The affected eye is [right, left, or both].  No history of trauma, bleeding disorders, or anticoagulant use was reported.  Visual acuity is [recorded value] in both eyes.  Extraocular movements are full and unrestricted.  Pupils are equal, round, and reactive to light and accommodation.  Slit-lamp examination confirms a subconjunctival hemorrhage with no other ocular abnormalities detected, such as corneal abrasions, hyphema, or signs of infection.  The patient was reassured about the benign nature of the condition and educated on the expected spontaneous resolution within one to two weeks.  No specific treatment is indicated at this time.  Follow-up is recommended if symptoms worsen or if the hemorrhage does not resolve within the expected timeframe.  Diagnosis: Subconjunctival hemorrhage.  ICD-10 code: H11.3.  Medical billing codes may include CPT 99212-99215 depending on the level of evaluation and management.  Differential diagnosis included conjunctivitis, trauma, and other ocular bleeding disorders, but these were ruled out based on clinical findings.  Keywords: subconjunctival hemorrhage, broken blood vessel in eye, eye redness, bleeding in eye, burst blood vessel eye, subconjunctival bleed, red eye, eye first aid, eye examination, ophthalmology, optometry, diagnosis codes, ICD-10 H11.3, CPT codes, eye doctor, medical billing, electronic health records.
Subconjunctival Hemorrhage - AI-Powered ICD-10 Documentation