Spastic ectropion of right eye, unspecified eyelid

This code signifies an outward turning of the right eyelid margin, specifically due to muscle spasm or hypertonicity. This spasticity prevents the eyelid from maintaining its normal position against the eyeball, potentially leading to ocular irritation and exposure. The "unspecified eyelid" indicates that the documentation does not specify whether it's the upper or lower eyelid affected.

Apply this code when documentation clearly states spastic ectropion affecting the right eye, without specifying the upper or lower lid. This diagnosis is typically made upon physical examination, observing the involuntary outward eversion of the eyelid. Supporting documentation would include notes describing the spastic nature of the ectropion and its laterality.

• Ensure documentation specifies "spastic" ectropion; other forms (e.g., senile, cicatricial) have different codes.
• Verify laterality (right eye) is clearly documented. If left eye or bilateral, a different code is required.
• If the specific eyelid (upper or lower) is documented, use the more specific code (H02.11- or H02.12-).