Unspecified entropion of left upper eyelid

This code signifies an inward turning of the margin of the left upper eyelid, where the lashes rub against the globe, but the specific cause or type of entropion is not documented. This can lead to ocular irritation, foreign body sensation, epiphora, and potential corneal damage.

Utilize this code when the medical record clearly indicates entropion affecting the left upper eyelid, but the physician's documentation does not specify whether it is senile, spastic, cicatricial, or congenital. This code is appropriate when the laterality (left) and affected lid (upper) are documented, but further specificity regarding the etiology is lacking.

• Avoid using this code if the documentation specifies the type of entropion (e.g., senile, spastic, cicatricial).
• Ensure the documentation clearly identifies the left upper eyelid as the affected site.
• If the entropion affects both eyes or a different eyelid, select the appropriate laterality and eyelid-specific code.