Unspecified corneal ulcer, right eye

This code signifies an inflammatory lesion on the surface of the right cornea, characterized by a defect in the epithelial layer and potentially extending into the corneal stroma. The specific etiology or type of corneal ulcer is not documented.

Apply this code when the medical record clearly indicates a corneal ulcer affecting the right eye, but the physician's documentation does not specify the underlying cause (e.g., infectious, traumatic, neurotrophic). Supporting documentation would include an ophthalmological exam noting an ulceration of the right cornea without further diagnostic specificity.

• Avoid using this code if the documentation provides enough detail to assign a more specific corneal ulcer code (e.g., bacterial, fungal, central).
• Always query the provider for more specific information regarding the type or cause of the corneal ulcer if available.
• Consider laterality carefully; this code is specific to the right eye.