Spastic entropion of left upper eyelid

This code signifies an inward turning of the left upper eyelid margin due to muscle spasm, causing the eyelashes to rub against the cornea and conjunctiva. This condition can lead to irritation, foreign body sensation, tearing, and potential corneal damage.

Apply this code when documentation clearly indicates spastic entropion affecting the patient's left upper eyelid. This typically occurs secondary to inflammation, infection, or trauma, and is often distinguished from involutional or congenital entropion. Look for terms like "spastic," "acute," or "reflex" associated with the entropion of the specified eyelid.

• Ensure the documentation specifies "spastic" entropion, as other types (e.g., H02.01- for senile, H02.02- for mechanical) are coded differently.
• Verify the laterality (left) and eyelid (upper) are explicitly stated to avoid miscoding.
• Consider additional codes for any underlying cause or associated complications, such as corneal abrasion (T85.6xxA) or conjunctivitis (H10.xx).