Spastic entropion of right upper eyelid

This code signifies an inward turning of the right upper eyelid margin due to involuntary muscle spasms. This condition can cause the eyelashes to rub against the cornea, leading to irritation, foreign body sensation, and potential corneal damage. It is distinct from involutional or cicatricial entropion.

Apply this code when documentation explicitly states spastic entropion affecting the right upper eyelid. This typically occurs in acute inflammatory conditions or after ocular surgery. Supporting documentation should include a physical exam noting the inward turning of the eyelid and the spastic nature of the condition.

• Ensure the documentation specifies "spastic" entropion, as other types of entropion have different codes.
• Verify the laterality (right) and eyelid (upper) are clearly documented.
• Consider coding any associated corneal abrasions or ulcers separately if present.