H02.889 Meibomian gland dysfunction of unspecified eye, unspecified eyelid

ICD10CM code

#### Name of the Condition
- Meibomian Gland Dysfunction (MGD)
- Technical term: Meibomian gland dysfunction of unspecified eye, unspecified eyelid (ICD-10 Code: H02.889)

#### Summary
- Meibomian gland dysfunction is a common eye condition affecting the glands in the eyelids responsible for producing the oily layer of tears. This dysfunction can lead to dry eyes or other eye surface disorders.

#### Causes
- MGD is primarily caused by blockages or structural changes in the meibomian glands, potentially due to aging, hormonal changes, or underlying skin conditions like rosacea.

#### Risk Factors
- Risk factors include age (more common in older adults), hormonal changes (especially during menopause), a history of skin conditions like rosacea or allergies, and lifestyle factors like excessive screen use or wearing contact lenses.

#### Symptoms
- Common symptoms include dry, itchy, or burning eyes, a gritty sensation, blurred vision, and eyelid inflammation.

#### Diagnosis
- Diagnosis is often clinical, based on a physical examination of the eyelids and patient history.
- Specialized tests, such as meibography, may be utilized to assess gland structure and function.

#### Treatment Options
- Treatment may include warm compresses, lid hygiene practices, prescription eye drops (e.g., antibiotics or anti-inflammatory agents), and omega-3 supplements to improve gland function.
- In-office procedures such as LipiFlow or intense pulsed light (IPL) therapy may be used to unclog glands.

#### Prognosis and Follow-Up
- While MGD is a chronic condition, symptoms can often be managed effectively with consistent treatment.
- Regular follow-up appointments are essential to monitor symptoms and adjust treatment as necessary.

#### Complications
- If untreated, MGD can lead to chronic blepharitis, recurring eye infections, or damage to the corneal surface.

#### Lifestyle & Prevention
- Adopting good eyelid hygiene practices and managing underlying conditions can help prevent exacerbation.
- Limiting screen time, using a humidifier, and taking breaks during activities that strain the eyes may also be beneficial.

#### When to Seek Professional Help
- Seek medical attention if symptoms persist despite routine care, or if experiencing severe pain, vision changes, or signs of infection.

#### Additional Resources
- American Academy of Ophthalmology (AAO) - [aao.org](https://www.aao.org)
- National Eye Institute (NEI) - [nei.nih.gov](https://www.nei.nih.gov)

#### Tips for Medical Coders
- Ensure accurate coding by confirming the unspecified nature of the eye and eyelid involved.
- Avoid common errors by verifying the diagnosis details against documentation, especially if laterality or specific eyelid involvement is eventually determined.

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