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H11.31
ICD-10-CM
Subconjunctival Hemorrhage Right Eye

Understand Subconjunctival Hemorrhage Right Eye diagnosis, clinical documentation, and medical coding. Find information on ICD-10 code H11.31, causes, symptoms, treatment, and prognosis for broken blood vessels in the right eye. Learn about subconjunctival bleeding, eye redness, and best practices for healthcare professionals documenting this common eye condition.

Also known as

Right Eye Conjunctival Hemorrhage
Right Eye SCH

Diagnosis Snapshot

Key Facts
  • Definition : Bleeding under the conjunctiva (thin membrane covering the eye).
  • Clinical Signs : Bright red patch on the white of the eye, no pain or vision changes usually.
  • Common Settings : Spontaneous, coughing, straining, vomiting, minor trauma.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H11.31 Coding
H11.3

Subconjunctival hemorrhage

Bleeding beneath the conjunctiva of the eye.

H59-H59.9

Other disorders of eye and adnexa

Unspecified eye conditions not classified elsewhere.

S05-S09.9

Injuries to the eye and orbit

Traumatic eye injuries, including orbital fractures.

I95-I99

Other and unspecified disorders of the circulatory system

Circulatory issues that may contribute to eye hemorrhages.

Code-Specific Guidance

Decision Tree for

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

Is the subconjunctival hemorrhage traumatic?

  • Yes

    Current injury?

  • No

    Is there an underlying condition?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Subconjunctival hemorrhage right eye
Conjunctivitis right eye
Corneal abrasion right eye

Documentation Best Practices

Documentation Checklist
  • Subconjunctival hemorrhage right eye diagnosis
  • Document onset, duration, and laterality
  • Describe appearance: flat, elevated; size, color
  • Associated symptoms: pain, vision changes
  • Rule out trauma, bleeding disorders, meds

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding the left eye or unspecified eye instead of the right eye, leading to inaccurate data and potential billing issues.

  • Traumatic vs. Spontaneous

    Failing to document whether the hemorrhage was traumatic or spontaneous, impacting coding specificity and subsequent analysis.

  • Underlying Condition

    Missing documentation of any underlying conditions (e.g., hypertension, bleeding disorders) contributing to the hemorrhage, affecting clinical coding accuracy.

Mitigation Tips

Best Practices
  • Rule out serious causes: trauma, bleeding disorders. ICD-10 H11.31, CDI best practice
  • Control hypertension if present. Improves outcomes, accurate coding vital. I10
  • Avoid blood thinners if possible. Consult physician, document thoroughly for compliance.
  • Cold compresses offer symptomatic relief. Patient education, clear chart notes essential.
  • Reassurance: typically resolves spontaneously. Monitor, document resolution for H11.31

Clinical Decision Support

Checklist
  • Verify sudden onset, painless bright red patch on right eye
  • Confirm no vision changes, pain, or discharge
  • Rule out trauma, bleeding disorders, Valsalva maneuvers
  • Document hemorrhage location, size, and associated symptoms
  • Check blood pressure if history of hypertension

Reimbursement and Quality Metrics

Impact Summary
  • Subconjunctival Hemorrhage Right Eye reimbursement: ICD-10 H11.31, CPT varies (e.g., 99202-99215 for E/M), impacting physician payment.
  • Coding accuracy crucial: Avoid unspecified codes (H11.30) for proper Subconjunctival Hemorrhage Right Eye claims processing.
  • Hospital reporting: Diagnosis impacts quality metrics related to eye health, influencing resource allocation.
  • Accurate Subconjunctival Hemorrhage coding improves data analysis for population health management and research.

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 H11321, not H1132
  • Rule out trauma, document cause
  • Query physician if cause unclear
  • ICD-10 Subconjunctival hemorrhage
  • Document laterality: right eye

Documentation Templates

Patient presents with a subconjunctival hemorrhage in the right eye. Onset was noted [Insert onset time frame - e.g., this morning, two days ago].  The patient denies pain, vision changes, discharge, or foreign body sensation.  The patient reports [Insert relevant positive or negative associated symptoms, e.g., recent coughing or sneezing, Valsalva maneuver, bleeding disorders, anticoagulant use, trauma].  Examination reveals a well-demarcated, flat, bright red area of hemorrhage located beneath the right conjunctiva.  No proptosis, chemosis, or eyelid involvement is observed.  Visual acuity is [Insert visual acuity - e.g., 20/20, unchanged].  Intraocular pressure is within normal limits.  The left eye is unremarkable.  Diagnosis of subconjunctival hemorrhage, right eye, is made.  The patient was educated on the benign and self-limiting nature of this condition.  No treatment is indicated at this time.  The patient was advised to return if pain, vision changes, or other concerning symptoms develop.  Follow up as needed.  ICD-10 code H11.31 is appropriate for this encounter.  Differential diagnosis includes other causes of red eye, such as conjunctivitis, episcleritis, or other ocular hemorrhage. This encounter addresses eye redness, broken blood vessel in eye, subconjunctival bleeding, and burst blood vessel in eye.
Subconjunctival Hemorrhage Right Eye - AI-Powered ICD-10 Documentation