H16.233 Neurotrophic keratoconjunctivitis, bilateral

ICD10CM code

#### Name of the Condition
- Neurotrophic Keratoconjunctivitis, Bilateral
- ICD-10 Code: H16.233

#### Summary
Neurotrophic keratoconjunctivitis is a rare degenerative condition affecting the cornea and conjunctiva in both eyes. It results from impaired corneal innervation, leading to decreased corneal sensitivity and epithelial damage.

#### Causes
The condition is commonly caused by damage to the trigeminal nerve, which can occur due to infections (e.g., herpes simplex virus), surgeries, or systemic diseases such as diabetes or multiple sclerosis.

#### Risk Factors
- Previous eye surgery or trauma
- Viral infections affecting the eyes
- Neurological disorders
- Diabetes mellitus

#### Symptoms
- Redness and irritation in both eyes
- Decreased vision
- Eye dryness and discomfort
- Sensation of a foreign body in the eye

#### Diagnosis
- Comprehensive eye examination by an ophthalmologist
- Corneal sensitivity tests
- Imaging studies to evaluate corneal integrity

#### Treatment Options
- Lubricating eye drops and ointments to moisten the eyes
- Therapeutic contact lenses to protect the corneal surface
- Surgical interventions like tarsorrhaphy to reduce eyelid exposure
- Potential use of nerve growth factor therapies to stimulate corneal healing

#### Prognosis and Follow-Up
With appropriate treatment, symptoms can be managed effectively, though some patients may experience chronic issues. Regular follow-up with an eye specialist is essential to monitor changes and adjust treatments.

#### Complications
- Chronic corneal ulcers
- Severe vision impairment or loss
- Secondary bacterial infections

#### Lifestyle & Prevention
- Protect eyes from trauma and infections
- Regular management of underlying health conditions like diabetes
- Avoid prolonged exposure to dry or windy environments

#### When to Seek Professional Help
Immediate medical attention is advised if there is a sudden decrease in vision, severe eye pain, or symptoms of an eye infection.

#### Additional Resources
- American Academy of Ophthalmology: [aao.org](https://www.aao.org)
- Cornea Research Foundation of America: [cornea.org](https://www.cornea.org)

#### Tips for Medical Coders
- Confirm bilateral involvement for accurate coding.
- Be aware of related conditions that might require separate codes.
- Double-check documentation for underlying causes or associated conditions.

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