ICD Code H10.45

ICD code H10.45 is other chronic allergic conjunctivitis, which refers to long-term inflammation of the conjunctiva (the membrane covering the white part of the eye) caused by allergies, not classified under more specific types.

1. Patient presents with chronic (persistent or recurring) conjunctival inflammation.

2. Symptoms include itching, redness, tearing, and swelling of the conjunctiva.

3. Allergic etiology is confirmed or strongly suspected based on history and/or clinical findings.

4. Symptoms have persisted for weeks or months, indicating a chronic course.

5. Excludes vernal, atopic, or giant papillary conjunctivitis.

6. No evidence of acute allergic conjunctivitis or infectious conjunctivitis.

7. Other causes of chronic conjunctivitis (e.g., autoimmune, toxic, or mechanical) have been ruled out.

Relevant CPT codes that may be used to treat ICD code H10.45 include:

- 92002: Ophthalmological services; medical examination and evaluation, new patient, initial

- 92004: Ophthalmological services; comprehensive, new patient

- 92012: Ophthalmological services; medical examination and evaluation, established patient, intermediate

- 92014: Ophthalmological services; comprehensive, established patient

- 99202–99215: Evaluation and management (E/M) services

- 86580: Skin test; for allergy testing

- 95004: Percutaneous tests (scratch, puncture, prick) with allergenic extracts

- 95024: Intradermal tests with allergenic extracts

- 65205: Removal of foreign body, conjunctival, superficial

- 65435: Excision or repair of conjunctiva, for chronic conditions

- 68720: Closure of the lacrimal punctum; by cauterization, ligation, or laser surgery

CPT code selection should be based on the specific services rendered and provider documentation.

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