Understanding Uveitis diagnosis, symptoms, and treatment is crucial for healthcare professionals. This resource provides information on clinical documentation, medical coding (ICD-10 H20), and differential diagnosis for anterior, intermediate, posterior, and panuveitis. Learn about associated conditions, complications like macular edema and vision loss, and common treatments including corticosteroids and immunomodulatory therapy. Find accurate information for proper uveitis management and improved patient care.
Also known as
Uveitis
Inflammation of the uvea, the middle layer of the eye.
Endophthalmitis
Inflammation of the internal tissues of the eye, potentially involving the uvea.
Sarcoidosis
Systemic inflammatory disease that can cause uveitis.
Human immunodeficiency virus [HIV] disease
HIV infection can lead to opportunistic infections causing uveitis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the uveitis anterior?
Yes
Is it granulomatous?
No
Is the uveitis intermediate?
When to use each related code
| Description |
|---|
| Eye inflammation |
| Iritis |
| Cyclitis |
Missing or incorrect laterality (right, left, bilateral) for uveitis can lead to inaccurate coding and claims rejection. ICD-10 requires specific laterality codes.
Uveitis subtypes (anterior, intermediate, posterior, panuveitis) require distinct ICD-10 codes. Lack of documentation clarity impacts coding accuracy and reimbursement.
Coding uveitis without specifying underlying conditions (e.g., autoimmune disease, infection) leads to incomplete coding and under-reporting of disease complexity.
Patient presents with complaints consistent with uveitis. Symptoms include ocular pain, photophobia, blurred vision, redness, and floaters. Onset of symptoms was [ timeframe e.g., gradual over the past week, sudden this morning]. Patient reports [presence or absence of] associated symptoms such as headache, eye tearing, or foreign body sensation. Medical history includes [list relevant medical history e.g., ankylosing spondylitis, sarcoidosis, juvenile idiopathic arthritis, herpes simplex virus infection, recent trauma]. Ocular examination reveals [detailed findings e.g., ciliary injection, cells and flare in the anterior chamber, keratic precipitates, posterior synechiae, vitritis]. Visual acuity is [record right eye OD and left eye OS measurements e.g., 2040 OD, 2020 OS]. Intraocular pressure is [record IOP measurements for both eyes]. Differential diagnosis includes iritis, iridocyclitis, anterior uveitis, intermediate uveitis, posterior uveitis, panuveitis. Based on clinical presentation and examination findings, the diagnosis of uveitis is made. Etiology is [state suspected etiology if known e.g., idiopathic, presumed autoimmune, associated with ankylosing spondylitis]. Treatment plan includes [detailed treatment plan e.g., topical corticosteroids such as prednisolone acetate 1, topical cycloplegic agents such as atropine 1, consideration for systemic corticosteroids if inflammation is severe, referral to ophthalmology for further evaluation and management, patient education regarding medication administration and follow-up care]. Patient advised to return for follow-up in [timeframe e.g., one week] to assess response to treatment and monitor for complications. ICD-10 code H20. This documentation supports medical necessity for prescribed medications and follow-up care.