Keratoconjunct sicca, not specified as Sjogren's, left eye

This code signifies dry eye syndrome, specifically keratoconjunctivitis sicca, affecting the left eye. It indicates a chronic condition characterized by insufficient tear production or poor tear quality, leading to dryness, irritation, and inflammation of the cornea and conjunctiva. This diagnosis is made when Sjögren's syndrome has been ruled out or is not yet determined as the underlying cause.

Use this code for patients presenting with symptoms of dry eye in the left eye, such as foreign body sensation, burning, redness, or blurred vision, where clinical examination confirms keratoconjunctivitis sicca. Documentation should clearly state the affected eye and explicitly exclude or not specify Sjögren's syndrome as the etiology.

• Ensure laterality is accurately documented and coded; do not use unspecified eye codes if left eye is known.
• Do not use this code if Sjögren's syndrome is documented as the cause; instead, refer to codes in the M35.0- series.
• Consider additional codes for any associated complications, such as corneal ulceration (H16.0-).