H04.013 Acute dacryoadenitis, bilateral lacrimal glands

ICD10CM code

#### Name of the Condition
- Acute Dacryoadenitis, Bilateral Lacrimal Glands (ICD H04.013)

#### Summary
Acute dacryoadenitis is an inflammation of the lacrimal glands, which produce tears. When it occurs bilaterally, it affects both glands, leading to rapid onset of symptoms such as pain and swelling in the tear glands.

#### Causes
- Viral infections, such as mumps or Epstein-Barr virus.
- Bacterial infections from organisms like Staphylococcus or Streptococcus.
- Rarely, it can be associated with systemic inflammatory conditions.

#### Risk Factors
- Recent upper respiratory infections.
- Poor immune system function, making you more susceptible to infections.
- Close contact with someone who has a viral infection.

#### Symptoms
- Swelling and tenderness over the outer portion of the eyelid.
- Pain in the eye area.
- Redness and warmth over the affected glands.
- Possible fever and malaise.

#### Diagnosis
- Physical examination by an ophthalmologist.
- Imaging studies like CT or MRI if an abscess or other complications are suspected.
- Swab tests or cultures to identify bacterial involvement.

#### Treatment Options
- Antibiotics if a bacterial infection is present.
- Analgesics for pain management.
- Warm compresses to reduce swelling and discomfort.
- Antivirals might be considered in viral cases.

#### Prognosis and Follow-Up
- With appropriate treatment, the prognosis is generally good.
- Most patients experience a complete recovery.
- Follow-up might be necessary to ensure resolution or to manage any underlying chronic conditions contributing to symptoms.

#### Complications
- Development of chronic dacryoadenitis.
- Spread of infection to nearby structures, potentially leading to abscess formation.

#### Lifestyle & Prevention
- Regular hand hygiene to prevent viral or bacterial infections.
- Avoiding close contact with infected individuals.
- Managing underlying health conditions to bolster overall immune health.

#### When to Seek Professional Help
- Rapid onset of severe pain and swelling in the eyes.
- Persistent symptoms despite over-the-counter treatments.
- Any change in vision.

#### Additional Resources
- American Academy of Ophthalmology (www.aao.org)
- Mayo Clinic for patient information on dacryoadenitis.

#### Tips for Medical Coders
- Ensure accurate documentation specifying "bilateral" involvement.
- Pay attention to the acute nature of the condition; do not confuse it with chronic cases.
- Verify with clinicians if the infection is bacterial or viral for precise coding.

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