Cicatricial lagophthalmos left lower eyelid

This code describes a condition where scar tissue on the left lower eyelid prevents complete closure of the eye, leading to exposure of the ocular surface. This cicatricial (scar-related) lagophthalmos can result from trauma, burns, inflammation, or prior surgical interventions affecting the eyelid.

Use this code when documentation specifies lagophthalmos caused by scarring affecting the lower eyelid of the left eye. This typically occurs when the patient is unable to fully close their left eye due to contracture or distortion from scar tissue. Supporting documentation should clearly identify the laterality and the cicatricial etiology.

• Ensure documentation specifies "cicatricial" as the cause; otherwise, a non-cicatricial lagophthalmos code may be more appropriate.
• Verify laterality (left lower eyelid) is clearly documented.
• Consider additional codes for the underlying cause of the scar tissue (e.g., burn, trauma) if applicable and still active.