Cicatricial lagophthalmos left upper eyelid

This code describes a condition where scar tissue on the left upper eyelid prevents complete closure of the eye, leading to exposure of the ocular surface. This cicatricial (scar-related) retraction of the eyelid can result in corneal dryness and irritation.

Use this code when documentation specifies lagophthalmos of the left upper eyelid caused by scarring, such as from trauma, burns, or previous surgery. The physician's notes should clearly indicate the laterality and the cicatricial etiology of the eyelid retraction.

• Ensure documentation specifies "cicatricial" as the cause; otherwise, a non-cicatricial lagophthalmos code may be more appropriate.
• Verify the laterality (left upper eyelid) is clearly stated.
• Consider co-reporting codes for any associated ocular complications, such as corneal ulceration or exposure keratopathy.