Conjunctivochalasis, bilateral

This code describes a bilateral condition where the conjunctiva, the clear membrane lining the eyelids and covering the white part of the eye, becomes loose, redundant, and folded. This excess tissue can interfere with tear film distribution and cause ocular surface irritation.

Use this code when documentation specifies conjunctivochalasis affecting both eyes. This diagnosis is typically made during an ophthalmological examination when redundant conjunctival folds are observed in the lower fornix or over the lower lid margin bilaterally.

• Ensure documentation explicitly states "bilateral" involvement; otherwise, use the appropriate unilateral code.
• Distinguish from other conjunctival disorders like conjunctivitis or pterygium, which involve inflammation or growth, respectively.
• Code any associated symptoms, such as dry eye (H04.12x) or epiphora (H04.2x), as secondary diagnoses.