Spastic entropion of unspecified eye, unspecified eyelid

This code describes an involuntary inward turning of the eyelid margin, specifically due to muscle spasm, affecting an unspecified eye and an unspecified eyelid. This condition can cause the eyelashes to rub against the cornea, leading to irritation, pain, and potential corneal damage.

Use this code when documentation indicates spastic entropion without specifying laterality (right or left eye) or the specific eyelid (upper or lower). This is appropriate when the physician's notes confirm the diagnosis of spastic entropion but lack further anatomical detail.

• Avoid using this code if the laterality or specific eyelid is documented; instead, choose a more specific code from the H02.04 series.
• Ensure the documentation clearly states "spastic" entropion, differentiating it from other forms like cicatricial or congenital entropion.
• Consider any associated corneal complications (e.g., H16.00x for corneal ulcer) and code them separately if documented.