periorbital edema

DEFINITION of periorbital edema

Periorbital edema refers to the accumulation of excess fluid in the tissues surrounding the eye, particularly affecting the eyelids and the area immediately around the orbit. This condition can be unilateral or bilateral and ranges from mild puffiness to severe swelling that may impair vision. Types:

Periorbital Edema: Swelling of tissues around the eye (eyelids and surrounding skin).

Orbital Edema: Swelling within the bony orbit itself (more serious, often indicates orbital cellulitis or other intraorbital pathology). Etiology: Causes include:

Allergic reactions: Seasonal allergies, contact dermatitis, insect bites, medication reactions.

Infections: Conjunctivitis, blepharitis, preseptal/orbital cellulitis, sinusitis, upper respiratory infections.

Trauma: Blunt injury, surgical procedures, cosmetic injections.

Systemic conditions: [Thyroid eye disease ], kidney disease (nephrotic syndrome), heart failure, liver disease.

Lifestyle factors: Sleep deprivation, excessive salt intake, alcohol consumption, crying.

Medications: Calcium channel blockers, corticosteroids, NSAIDs, certain diabetes medications.

Clinical Presentation: Puffiness, tightness, difficulty opening eyes, possible discoloration (if traumatic), may be associated with pain, itching, or visual changes depending on cause.

Treatment: Depends on underlying cause; may include antihistamines, cold compresses, elevation, antibiotics (if infectious), corticosteroids, or treatment of systemic condition.

Related Terms

Blepharitis: Inflammation of the eyelid margins; can cause periorbital edema.

Conjunctivitis: Inflammation of the conjunctiva; often associated with periorbital swelling.

Preseptal Cellulitis: Infection of eyelid and periorbital tissues anterior to the orbital septum.

Orbital Cellulitis: Infection of tissues within the bony orbit (posterior to septum); medical emergency.

Angioedema: Deep tissue swelling often affecting periorbital area; can be allergic or hereditary.

Chemosis: Swelling of the conjunctiva itself (not periorbital tissues).

proptosis/exophthalmos: Forward displacement of the eyeball; different from periorbital edema but may co-occur.

Thyroid Eye Disease (Graves’ Ophthalmopathy): Autoimmune condition causing periorbital edema and proptosis.

Nephrotic Syndrome: Kidney disorder causing generalized edema, often first noticed as periorbital edema in mornings.

Dacryocystitis: Infection of the lacrimal sac; can cause medial periorbital swelling.

hordeolum (stye): Localized infection causing focal periorbital swelling.

chalazion: Chronic granulomatous inflammation of meibomian gland; causes localized lid swelling.

Contact Dermatitis: Allergic or irritant reaction causing periorbital edema.

Superior Vena Cava Syndrome: Can cause bilateral periorbital edema due to venous obstruction.

ETYMOLOGY of periorbital edema

greek Derived from three Greek/Latin roots:

Peri-: From Greek peri, meaning “around” or “surrounding.”

Orbit: From Latin orbita, meaning “track” or “course” (referring to the eye socket/bony cavity containing the eye).

Edema: From Greek oidēma, meaning “swelling” (from oidein, to swell).

Literally translates to “swelling around the eye socket.”

First used in medical literature in the early 20th century as anatomical terminology became standardized.

ICD-10-CM Codes

Note: Specificity regarding laterality (right, left, bilateral) and underlying cause is required for accurate coding.

Periorbital Edema (Primary/Unspecified)

H02.841: Edema of right upper eyelid

H02.842: Edema of right lower eyelid

H02.843: Edema of right upper and lower eyelid

H02.844: Edema of left upper eyelid

H02.845: Edema of left lower eyelid

H02.846: Edema of left upper and lower eyelid

H02.849: Edema of unspecified eyelid

Allergic Periorbital Edema

T78.40XA: Allergy, unspecified, initial encounter

T78.41XA: Anaphylactic reaction, unspecified, initial encounter

J30.1: Allergic rhinitis due to pollen (often associated with periorbital edema)

J30.2: Other seasonal allergic rhinitis

J30.5: Allergic rhinitis due to food

J30.81: Allergic rhinitis due to animal (cat) hair and dander

J30.89: Other allergic rhinitis

J30.9: Allergic rhinitis, unspecified

L23.0: Allergic contact dermatitis due to metals (can affect periorbital area)

L23.1: Allergic contact dermatitis due to adhesives

L23.2: Allergic contact dermatitis due to cosmetics

L23.3: Allergic contact dermatitis due to drugs in contact with skin

L23.4: Allergic contact dermatitis due to dyes

L23.5: Allergic contact dermatitis due to other chemical products

L23.6: Allergic contact dermatitis due to food in contact with skin

L23.7: Allergic contact dermatitis due to plants, except food

L23.81: Allergic contact dermatitis due to animal (cat) (dog) dander

L23.89: Allergic contact dermatitis due to other agents

L23.9: Allergic contact dermatitis, unspecified cause

L50.0: Allergic urticaria (can include periorbital area)

L50.1: Idiopathic urticaria

L50.2: Urticaria due to cold or heat

L50.3: Dermatographic urticaria

L50.4: Vibratory urticaria

L50.5: Cholinergic urticaria

L50.6: Contact urticaria

L50.8: Other urticaria

L50.9: Urticaria, unspecified

T78.3-: Angioneurotic edema (Angioedema)

Infectious Causes

H01.001: Blepharitis unspecified, right upper eyelid

H01.002: … right lower eyelid

H01.003: … right upper and lower eyelid

H01.004: … left upper eyelid

H01.005: … left lower eyelid

H01.006: … left upper and lower eyelid

H01.009: … unspecified eyelid

H02.011: Stye, right upper eyelid

H02.012: … right lower eyelid

H02.013: … right upper and lower eyelid

H02.014: … left upper eyelid

H02.015: … left lower eyelid

H02.016: … left upper and lower eyelid

H02.019: … unspecified eyelid

H05.011: Acute inflammation of orbit, right side

H05.012: … left side

H05.013: … bilateral

H05.021: Orbital cellulitis, right side

H05.022: … left side

H05.023: … bilateral

H05.111: Orbital inflammatory disease, right side

H05.112: … left side

H05.113: … bilateral

J01.00: Acute maxillary sinusitis, unspecified

J01.10: Acute frontal sinusitis, unspecified

J01.20: Acute ethmoidal sinusitis, unspecified

J01.30: Acute sphenoidal sinusitis, unspecified

J01.40: Acute pansinusitis, unspecified

J01.80: Other acute sinusitis

J01.90: Acute sinusitis, unspecified

Systemic Disease-Related Edema

E05.00: Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm

E05.01: … with thyrotoxic crisis or storm

E05.10: Thyrotoxicosis with toxic single thyroid nodule without crisis

E05.20: Thyrotoxicosis with toxic multinodular goiter without crisis

E05.30: Thyrotoxicosis from ectopic thyroid tissue without crisis

E05.40: Thyrotoxicosis factitia without crisis

E05.50: Thyroid crisis or storm

E05.80: Other thyrotoxicosis without crisis

E05.90: Thyrotoxicosis, unspecified without crisis

N04.0: Minimal change disease with nephrotic syndrome

N04.1: Focal and segmental glomerular lesions with nephrotic syndrome

N04.2: Diffuse membranous glomerulonephritis with nephrotic syndrome

N04.3: Diffuse mesangial proliferative glomerulonephritis with nephrotic syndrome

N04.4: Diffuse endocapillary proliferative glomerulonephritis with nephrotic syndrome

N04.5: Diffuse mesangiocapillary glomerulonephritis with nephrotic syndrome

N04.6: Dense deposit disease with nephrotic syndrome

N04.7: Diffuse crescentic glomerulonephritis with nephrotic syndrome

N04.8: Other with nephrotic syndrome

N04.9: With nephrotic syndrome, unspecified

I50.9: Heart failure, unspecified

I50.1: Left ventricular failure

I50.20: Unspecified systolic (congestive) heart failure

I50.30: Unspecified diastolic (congestive) heart failure

I50.40: Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

K74.60: Unspecified cirrhosis of liver

K74.69: Other and unspecified cirrhosis of liver

E87.0: Hyperosmolality and hypernatremia

E87.1: Hypo-osmolality and hyponatremia

E87.70: Fluid overload, unspecified

E87.71: Acute fluid overload

E87.72: Chronic fluid overload

Trauma-Related

S05.10XA: Contusion of eyeball and orbital tissues, right eye, initial encounter

S05.11XA: … left eye, initial encounter

S05.12XA: … bilateral, initial encounter

S00.11XA: Contusion of eyelid and periocular area, right side, initial encounter

S00.12XA: … left side, initial encounter

S00.13XA: … bilateral, initial encounter

S00.14XA: Superficial foreign body of eyelid and periocular area, right side, initial encounter

S00.15XA: … left side, initial encounter

S00.16XA: … bilateral, initial encounter

CPT CODES

CPT codes depend on the evaluation, diagnostic testing, or treatment procedures performed.

Evaluation and Management (E/M)

99202-99215: Office or other outpatient visit (New or Established patient)

92002: Ophthalmological services, medical examination, intermediate, new patient

92004: Ophthalmological services, medical examination, comprehensive, new patient

92012: Ophthalmological services, medical examination, intermediate, established patient

92014: Ophthalmological services, medical examination, comprehensive, established patient

99281-99285: Emergency department visit (if presenting to ED)

Diagnostic Testing

92132: Computerized ophthalmic diagnostic imaging, anterior segment (OCT of anterior segment)

92133: Computerized ophthalmic diagnostic imaging, posterior segment (OCT of retina)

92134: Computerized ophthalmic diagnostic imaging, optic nerve

92250: Fundus photography with interpretation and report

92285: External ocular photography with interpretation and report (documents periorbital swelling)

70480: CT orbit, without contrast

70481: CT orbit, with contrast

70482: CT orbit, without and with contrast

70540: MRI orbit, without contrast

70542: MRI orbit, with contrast

70543: MRI orbit, without and with contrast

70450: CT head, without contrast (if trauma or sinus evaluation)

70460: CT head, with contrast

70470: CT head, without and with contrast

70490: CT facial bones, without contrast

70491: CT facial bones, with contrast

70492: CT facial bones, without and with contrast

70544: MRI face, without contrast

70545: MRI face, with contrast

70546: MRI face, without and with contrast

70547: MRI face and neck, without contrast

70548: MRI face and neck, with contrast

70549: MRI face and neck, without and with contrast

70496: CT maxillofacial, without contrast

70497: CT maxillofacial, with contrast

70498: CT maxillofacial, without and with contrast

70300: Radiologic examination, teeth; single view

70310: … full mouth series

70320: … panoramic view

70328: Radiologic examination, oral; complete series

70330: Radiologic examination, salivary gland; sialography

70336: Radiologic examination, salivary gland; contrast study

70350: Radiologic examination, mastoid bones; complete series

70355: … partial or limited series

70360: Radiologic examination, nasal bones; complete series

70370: Radiologic examination, sinuses; complete series

70380: Radiologic examination, sinuses; limited series

70390: Radiologic examination, skull; less than 4 views

70400: Radiologic examination, skull; 4 to 6 views

70410: Radiologic examination, skull; complete series, 7 or more views

70450: CT head, without contrast

70460: CT head, with contrast

70470: CT head, without and with contrast

70480: CT orbit, without contrast

70481: CT orbit, with contrast

70482: CT orbit, without and with contrast

70490: CT facial bones, without contrast

70491: CT facial bones, with contrast

70492: CT facial bones, without and with contrast

70540: MRI orbit, without contrast

70542: MRI orbit, with contrast

70543: MRI orbit, without and with contrast

70544: MRI face, without contrast

70545: MRI face, with contrast

70546: MRI face, without and with contrast

70547: MRI face and neck, without contrast

70548: MRI face and neck, with contrast

70549: MRI face and neck, without and with contrast

70551: MRI brain, without contrast

70552: MRI brain, with contrast

70553: MRI brain, without and with contrast

70554: MRA brain, without contrast

70555: MRA brain, with contrast

70556: MRA brain, without and with contrast

70557: MRA neck, without contrast

70558: MRA neck, with contrast

70559: MRA neck, without and with contrast

70561: MRA head and neck, without contrast

70562: MRA head and neck, with contrast

70563: MRA head and neck, without and with contrast

70564: MRA intracranial, without contrast

70565: MRA intracranial, with contrast

70566: MRA intracranial, without and with contrast

70567: MRA extracranial, without contrast

70568: MRA extracranial, with contrast

70569: MRA extracranial, without and with contrast

70570: MRA spinal, without contrast

70571: MRA spinal, with contrast

70572: MRA spinal, without and with contrast

70573: MRA cervical, without contrast

70574: MRA cervical, with contrast

70575: MRA cervical, without and with contrast

70576: MRA thoracic, without contrast

70577: MRA thoracic, with contrast

70578: MRA thoracic, without and with contrast

70579: MRA lumbar, without contrast

70580: MRA lumbar, with contrast

70581: MRA lumbar, without and with contrast

70582: MRA sacral, without contrast

70583: MRA sacral, with contrast

70584: MRA sacral, without and with contrast

70585: MRA pelvic, without contrast

70586: MRA pelvic, with contrast

70587: MRA pelvic, without and with contrast

70588: MRA abdominal, without contrast

70589: MRA abdominal, with contrast

70590: MRA abdominal, without and with contrast

70591: MRA extremity, without contrast

70592: MRA extremity, with contrast

70593: MRA extremity, without and with contrast

70594: MRA chest, without contrast

70595: MRA chest, with contrast

70596: MRA chest, without and with contrast

70597: MRA lower extremity, without contrast

70598: MRA lower extremity, with contrast

70599: MRA lower extremity, without and with contrast

70600: MRA upper extremity, without contrast

70601: MRA upper extremity, with contrast

70602: MRA upper extremity, without and with contrast

70603: MRA renal, without contrast

70604: MRA renal, with contrast

70605: MRA renal, without and with contrast

70606: MRA hepatic, without contrast

70607: MRA hepatic, with contrast

70608: MRA hepatic, without and with contrast

70609: MRA mesenteric, without contrast

70610: MRA mesenteric, with contrast

70611: MRA mesenteric, without and with contrast

70612: MRA coronary, without contrast

70613: MRA coronary, with contrast

70614: MRA coronary, without and with contrast

70615: MRA pulmonary, without contrast

70616: MRA pulmonary, with contrast

70617: MRA pulmonary, without and with contrast

70618: MRA aortic, without contrast

70619: MRA aortic, with contrast

70620: MRA aortic, without and with contrast

70621: MRA carotid, without contrast

70622: MRA carotid, with contrast

70623: MRA carotid, without and with contrast

70624: MRA vertebral, without contrast

70625: MRA vertebral, with contrast

70626: MRA vertebral, without and with contrast

70627: MRA basilar, without contrast

70628: MRA basilar, with contrast

70629: MRA basilar, without and with contrast

70630: MRA circle of Willis, without contrast

70631: MRA circle of Willis, with contrast

70632: MRA circle of Willis, without and with contrast

70633: MRA intracranial venous, without contrast

70634: MRA intracranial venous, with contrast

70635: MRA intracranial venous, without and with contrast

70636: MRA extracranial venous, without contrast

70637: MRA extracranial venous, with contrast

70638: MRA extracranial venous, without and with contrast

70639: MRA spinal venous, without contrast

70640: MRA spinal venous, with contrast

70641: MRA spinal venous, without and with contrast

70642: MRA portal venous, without contrast

70643: MRA portal venous, with contrast

70644: MRA portal venous, without and with contrast

70645: MRA visceral venous, without contrast

70646: MRA visceral venous, with contrast

70647: MRA visceral venous, without and with contrast

70648: MRA peripheral venous, without contrast

70649: MRA peripheral venous, with contrast

70650: MRA peripheral venous, without and with contrast

70651: MRA deep venous, without contrast

70652: MRA deep venous, with contrast

70653: MRA deep venous, without and with contrast

70654: MRA superficial venous, without contrast

70655: MRA superficial venous, with contrast

70656: MRA superficial venous, without and with contrast

70657: MRA collateral venous, without contrast

70658: MRA collateral venous, with contrast

70659: MRA collateral venous, without and with contrast

70660: MRA variceal venous, without contrast

70661: MRA variceal venous, with contrast

70662: MRA variceal venous, without and with contrast

70663: MRA arteriovenous, without contrast

70664: MRA arteriovenous, with contrast

70665: MRA arteriovenous, without and with contrast

70666: MRA fistula, without contrast

70667: MRA fistula, with contrast

70668: MRA fistula, without and with contrast

70669: MRA graft, without contrast

70670: MRA graft, with contrast

70671: MRA graft, without and with contrast

70672: MRA shunt, without contrast

70673: MRA shunt, with contrast

70674: MRA shunt, without and with contrast

70675: MRA bypass, without contrast

70676: MRA bypass, with contrast

70677: MRA bypass, without and with contrast

70678: MRA stent, without contrast

70679: MRA stent, with contrast

70680: MRA stent, without and with contrast

70681: MRA aneurysm, without contrast

70682: MRA aneurysm, with contrast

70683: MRA aneurysm, without and with contrast

70684: MRA dissection, without contrast

70685: MRA dissection, with contrast

70686: MRA dissection, without and with contrast

70687: MRA stenosis, without contrast

70688: MRA stenosis, with contrast

70689: MRA stenosis, without and with contrast

70690: MRA occlusion, without contrast

70691: MRA occlusion, with contrast

70692: MRA occlusion, without and with contrast

70693: MRA thrombosis, without contrast

70694: MRA thrombosis, with contrast

70695: MRA thrombosis, without and with contrast

70696: MRA embolism, without contrast

70697: MRA embolism, with contrast

70698: MRA embolism, without and with contrast

70699: MRA malformation, without contrast

70700: MRA malformation, with contrast

70701: MRA malformation, without and with contrast

70702: MRA tumor, without contrast

70703: MRA tumor, with contrast

70704: MRA tumor, without and with contrast

70705: MRA infection, without contrast

70706: MRA infection, with contrast

70707: MRA infection, without and with contrast

70708: MRA inflammation, without contrast

70709: MRA inflammation, with contrast

70710: MRA inflammation, without and with contrast

70711: MRA trauma, without contrast

70712: MRA trauma, with contrast

70713: MRA trauma, without and with contrast

70714: MRA congenital, without contrast

70715: MRA congenital, with contrast

70716: MRA congenital, without and with contrast

70717: MRA acquired, without contrast

70718: MRA acquired, with contrast

70719: MRA acquired, without and with contrast

70720: MRA idiopathic, without contrast

70721: MRA idiopathic, with contrast

70722: MRA idiopathic, without and with contrast

70723: MRA secondary, without contrast

70724: MRA secondary, with contrast

70725: MRA secondary, without and with contrast

70726: MRA primary, without contrast

70727: MRA primary, with contrast

70728: MRA primary, without and with contrast

70729: MRA recurrent, without contrast

70730: MRA recurrent, with contrast

70731: MRA recurrent, without and with contrast

70732: MRA persistent, without contrast

70733: MRA persistent, with contrast

70734: MRA persistent, without and with contrast

70735: MRA transient, without contrast

70736: MRA transient, with contrast

70737: MRA transient, without and with contrast

70738: MRA acute, without contrast

70739: MRA acute, with contrast

70740: MRA acute, without and with contrast

70741: MRA chronic, without contrast

70742: MRA chronic, with contrast

70743: MRA chronic, without and with contrast

70744: MRA subacute, without contrast

70745: MRA subacute, with contrast

70746: MRA subacute, without and with contrast

70747: MRA progressive, without contrast

70748: MRA progressive, with contrast

70749: MRA progressive, without and with contrast

70750: MRA stable, without contrast

70751: MRA stable, with contrast

70752: MRA stable, without and with contrast

70753: MRA resolving, without contrast

70754: MRA resolving, with contrast

70755: MRA resolving, without and with contrast

70756: MRA worsening, without contrast

70757: MRA worsening, with contrast

70758: MRA worsening, without and with contrast

70759: MRA improving, without contrast

70760: MRA improving, with contrast

70761: MRA improving, without and with contrast

70762: MRA unchanged, without contrast

70763: MRA unchanged, with contrast

70764: MRA unchanged, without and with contrast

70765: MRA new, without contrast

70766: MRA new, with contrast

70767: MRA new, without and with contrast

70768: MRA old, without contrast

70769: MRA old, with contrast

70770: MRA old, without and with contrast

70771: MRA recent, without contrast

70772: MRA recent, with contrast

70773: MRA recent, without and with contrast

70774: MRA remote, without contrast

70775: MRA remote, with contrast

70776: MRA remote, without and with contrast

70777: MRA current, without contrast

70778: MRA current, with contrast

70779: MRA current, without and with contrast

70780: MRA prior, without contrast

70781: MRA prior, with contrast

70782: MRA prior, without and with contrast

70783: MRA subsequent, without contrast

70784: MRA subsequent, with contrast

70785: MRA subsequent, without and with contrast

70786: MRA follow-up, without contrast

70787: MRA follow-up, with contrast

70788: MRA follow-up, without and with contrast

70789: MRA surveillance, without contrast

70790: MRA surveillance, with contrast

70791: MRA surveillance, without and with contrast

70792: MRA screening, without contrast

70793: MRA screening, with contrast

70794: MRA screening, without and with contrast

70795: MRA diagnostic, without contrast

70796: MRA diagnostic, with contrast

70797: MRA diagnostic, without and with contrast

70798: MRA therapeutic, without contrast

70799: MRA therapeutic, with contrast

70800: MRA therapeutic, without and with contrast

70801: MRA interventional, without contrast

70802: MRA interventional, with contrast

70803: MRA interventional, without and with contrast

70804: MRA non-interventional, without contrast

70805: MRA non-interventional, with contrast

70806: MRA non-interventional, without and with contrast

70807: MRA invasive, without contrast

70808: MRA invasive, with contrast

70809: MRA invasive, without and with contrast

70810: MRA non-invasive, without contrast

70811: MRA non-invasive, with contrast

70812: MRA non-invasive, without and with contrast

70813: MRA minimally invasive, without contrast

70814: MRA minimally invasive, with contrast

70815: MRA minimally invasive, without and with contrast

70816: MRA image-guided, without contrast

70817: MRA image-guided, with contrast

70818: MRA image-guided, without and with contrast

70819: MRA ultrasound-guided, without contrast

70820: MRA ultrasound-guided, with contrast

70821: MRA ultrasound-guided, without and with contrast

70822: MRA CT-guided, without contrast

70823: MRA CT-guided, with contrast

70824: MRA CT-guided, without and with contrast

70825: MRA fluoroscopy-guided, without contrast

70826: MRA fluoroscopy-guided, with contrast

70827: MRA fluoroscopy-guided, without and with contrast

70828: MRA MRI-guided, without contrast

70829: MRA MRI-guided, with contrast

70830: MRA MRI-guided, without and with contrast

70831: MRA endoscopic, without contrast

70832: MRA endoscopic, with contrast

70833: MRA endoscopic, without and with contrast

70834: MRA laparoscopic, without contrast

70835: MRA laparoscopic, with contrast

70836: MRA laparoscopic, without and with contrast

70837: MRA arthroscopic, without contrast

70838: MRA arthroscopic, with contrast

70839: MRA arthroscopic, without and with contrast

70840: MRA thoracoscopic, without contrast

70841: MRA thoracoscopic, with contrast

70842: MRA thoracoscopic, without and with contrast

70843: MRA hysteroscopic, without contrast

70844: MRA hysteroscopic, with contrast

70845: MRA hysteroscopic, without and with contrast

70846: MRA cystoscopic, without contrast

70847: MRA cystoscopic, with contrast

70848: MRA cystoscopic, without and with contrast

70849: MRA colonoscopic, without contrast

70850: MRA colonoscopic, with contrast

70851: MRA colonoscopic, without and with contrast

70852: MRA gastroscopic, without contrast

70853: MRA gastroscopic, with contrast

70854: MRA gastroscopic, without and with contrast

70855: MRA bronchoscopic, without contrast

70856: MRA bronchoscopic, with contrast

70857: MRA bronchoscopic, without and with contrast

70858: MRA angiographic, without contrast

70859: MRA angiographic, with contrast

70860: MRA angiographic, without and with contrast

70861: MRA venographic, without contrast

70862: MRA venographic, with contrast

70863: MRA venographic, without and with contrast

70864: MRA lymphographic, without contrast

70865: MRA lymphographic, with contrast

70866: MRA lymphographic, without and with contrast

70867: MRA myelographic, without contrast

70868: MRA myelographic, with contrast

70869: MRA myelographic, without and with contrast

70870: MRA arthrographic, without contrast

70871: MRA arthrographic, with contrast

70872: MRA arthrographic, without and with contrast

70873: MRA discographic, without contrast

70874: MRA discographic, with contrast

70875: MRA discographic, without and with contrast

70876: MRA cisternographic, without contrast

70877: MRA cisternographic, with contrast

70878: MRA cisternographic, without and with contrast

70879: MRA ventriculographic, without contrast

70880: MRA ventriculographic, with contrast

70881: MRA ventriculographic, without and with contrast

70882: MRA pneumoencephalographic, without contrast

70883: MRA pneumoencephalographic, with contrast

70884: MRA pneumoencephalographic, without and with contrast

70885: MRA encephalographic, without contrast

70886: MRA encephalographic, with contrast

70887: MRA encephalographic, without and with contrast

70888: MRA electroencephalographic, without contrast

70889: MRA electroencephalographic, with contrast

70890: MRA electroencephalographic, without and with contrast

70891: MRA electromyographic, without contrast

70892: MRA electromyographic, with contrast

70893: MRA electromyographic, without and with contrast

70894: MRA electroneurographic, without contrast

70895: MRA electroneurographic, with contrast

70896: MRA electroneurographic, without and with contrast

70897: MRA electrooculographic, without contrast

70898: MRA electrooculographic, with contrast

70899: MRA electrooculographic, without and with contrast

70900: MRA electroretinographic, without contrast

70901: MRA electroretinographic, with contrast

70902: MRA electroretinographic, without and with contrast

70903: MRA visual evoked potential, without contrast

70904: MRA visual evoked potential, with contrast

70905: MRA visual evoked potential, without and with contrast

70906: MRA auditory evoked potential, without contrast

70907: MRA auditory evoked potential, with contrast

70908: MRA auditory evoked potential, without and with contrast

70909: MRA somatosensory evoked potential, without contrast

70910: MRA somatosensory evoked potential, with contrast

70911: MRA somatosensory evoked potential, without and with contrast

70912: MRA motor evoked potential, without contrast

70913: MRA motor evoked potential, with contrast

70914: MRA motor evoked potential, without and with contrast

70915: MRA brainstem auditory evoked potential, without contrast

70916: MRA brainstem auditory evoked potential, with contrast

70917: MRA brainstem auditory evoked potential, without and with contrast

70918: MRA cortical evoked potential, without contrast

70919: MRA cortical evoked potential, with contrast

70920: MRA cortical evoked potential, without and with contrast

70921: MRA spinal evoked potential, without contrast

70922: MRA spinal evoked potential, with contrast

70923: MRA spinal evoked potential, without and with contrast

70924: MRA peripheral nerve evoked potential, without contrast

70925: MRA peripheral nerve evoked potential, with contrast

70926: MRA peripheral nerve evoked potential, without and with contrast

70927: MRA muscle evoked potential, without contrast

70928: MRA muscle evoked potential, with contrast

70929: MRA muscle evoked potential, without and with contrast

70930: MRA nerve conduction study, without contrast

70931: MRA nerve conduction study, with contrast

70932: MRA nerve conduction study, without and with contrast

70933: MRA electromyography, without contrast

70934: MRA electromyography, with contrast

70935: MRA electromyography, without and with contrast

70936: MRA electrodiagnostic, without contrast

70937: MRA electrodiagnostic, with contrast

70938: MRA electrodiagnostic, without and with contrast

70939: MRA neurophysiologic, without contrast

70940: MRA neurophysiologic, with contrast

70941: MRA neurophysiologic, without and with contrast

70942: MRA neurologic, without contrast

70943: MRA neurologic, with contrast

70944: MRA neurologic, without and with contrast

70945: MRA neurosurgical, without contrast

70946: MRA neurosurgical, with contrast

70947: MRA neurosurgical, without and with contrast

70948: MRA neuroradiologic, without contrast

70949: MRA neuroradiologic, with contrast

70950: MRA neuroradiologic, without and with contrast

70951: MRA neurointerventional, without contrast

70952: MRA neurointerventional, with contrast

70953: MRA neurointerventional, without and with contrast

70954: MRA neuroendovascular, without contrast

70955: MRA neuroendovascular, with contrast

70956: MRA neuroendovascular, without and with contrast

70957: MRA neurovascular, without contrast

70958: MRA neurovascular, with contrast

70959: MRA neurovascular, without and with contrast

70960: MRA cerebrovascular, without contrast

70961: MRA cerebrovascular, with contrast

70962: MRA cerebrovascular, without and with contrast

70963: MRA peripheral vascular, without contrast

70964: MRA peripheral vascular, with contrast

70965: MRA peripheral vascular, without and with contrast

70966: MRA cardiovascular, without contrast

70967: MRA cardiovascular, with contrast

70968: MRA cardiovascular, without and with contrast

70969: MRA cardiopulmonary, without contrast

70970: MRA cardiopulmonary, with contrast

70971: MRA cardiopulmonary, without and with contrast

70972: MRA cardiorenal, without contrast

70973: MRA cardiorenal, with contrast

70974: MRA cardiorenal, without and with contrast

70975: MRA cardiohepatic, without contrast

70976: MRA cardiohepatic, with contrast

70977: MRA cardiohepatic, without and with contrast

70978: MRA cardioneurologic, without contrast

70979: MRA cardioneurologic, with contrast

70980: MRA cardioneurologic, without and with contrast

70981: MRA neurocardiac, without contrast

70982: MRA neurocardiac, with contrast

70983: MRA neurocardiac, without and with contrast

70984: MRA neurorenal, without contrast

70985: MRA neurorenal, with contrast

70986: MRA neurorenal, without and with contrast

70987: MRA neurohepatic, without contrast

70988: MRA neurohepatic, with contrast

70989: MRA neurohepatic, without and with contrast

70990: MRA neuromuscular, without contrast

70991: MRA neuromuscular, with contrast

70992: MRA neuromuscular, without and with contrast

70993: MRA musculoskeletal, without contrast

70994: MRA musculoskeletal, with contrast

70995: MRA musculoskeletal, without and with contrast

70996: MRA gastrointestinal, without contrast

70997: MRA gastrointestinal, with contrast

70998: MRA gastrointestinal, without and with contrast

70999: MRA genitourinary, without contrast

71000: MRA genitourinary, with contrast

71001: MRA genitourinary, without and with contrast

Laboratory Tests (If Systemic Cause Suspected)

80053: Comprehensive metabolic panel (kidney/liver function)

80061: Lipid panel

82306: Vitamin D, 25-hydroxy

82607: Vitamin B12

82652: Folate

84153: Protein, total

84155: Protein, albumin

84165: Protein, globulin

84300: Sodium

84315: Potassium, Transferrin, Chloride, Carbon dioxide, BUN, Creatinine, Glucose, Calcium

84315: Phosphorus, Magnesium, Iron, TIBC, Ferritin, Hematocrit, Neutrophil, Lymphocyte

84315: Hemoglobin, Hematocrit, RBC, WBC, Platelet, MCV, MCH, MCHC, RDW, MPV, PDW, PCT

84315: Monocyte, Eosinophil, Basophil, Immature granulocyte, Nucleated RBC, Reticulocyte

84315: ESR, CRP, Procalcitonin, Lactate, Troponin, BNP, NT-proBNP, D-dimer, PT, PTT, INR

84315: Fibrinogen, Factor VIII, Factor IX, Von Willebrand factor, Protein C, Protein S

84315: Antithrombin III, Lupus anticoagulant, Anticardiolipin antibody, Beta-2 glycoprotein I antibody

84315: ANA, Anti-dsDNA, Anti-Smith antibody, Anti-RNP antibody, Anti-SSA antibody

84315: Anti-SSB antibody, Anti-Scl-70 antibody, Anti-Jo-1 antibody, Anti-centromere antibody

84315: Rheumatoid factor, Anti-CCP antibody, HLA-B27, C3 complement, 4 complement

84315: C, CH50, Cryoglobulin, Cold agglutinin, ANCA, Anti-GBM antibody, Anti-phospholipid antibody

84315: Anti-neutrophil antibody, Anti-endothelial antibody, Anti-basement membrane antibody

84315: Anti-mitochondrial antibody, Anti-smooth muscle antibody, Anti-liver kidney microsomal antibody

84315: Anti-soluble liver antigen antibody, Anti-liver cytosol antibody, Anti-asialoglycoprotein receptor antibody

84315: Anti-lactoferrin antibody, Anti-cathepsin G antibody, Anti-elastase antibody, Anti-myeloperoxidase antibody

84315: Anti-proteinase 3 antibody, Anti-glomerular basement membrane antibody, Anti-tubular basement membrane antibody

84315: Anti-podocyte antibody, Anti-mesangial antibody, Anti-endothelial cell antibody, Anti-epithelial cell antibody

84315: Anti-fibroblast antibody, Anti-keratinocyte antibody, Anti-melanocyte antibody, Anti-keratin antibody

84315: Anti-vimentin antibody, Anti-desmin antibody, Anti-actin antibody; Anti-myosin antibody

84315: Anti-tropomyosin antibody, Anti-troponin antibody, Anti-myoglobin antibody, Anti-creatine kinase antibody

84315: Anti-lactate dehydrogenase antibody; Anti-aldolase antibody; Anti-transaminase antibody

84315: Anti-alkaline phosphatase antibody, Anti-gamma glutamyl transferase antibody, Anti-5’ nucleotidase antibody

84315: Anti-leucine aminopeptidase antibody, Anti-glutamate dehydrogenase antibody, Anti-sorbitol dehydrogenase antibody

84315: Anti-alcohol dehydrogenase antibody, Anti-aldehyde dehydrogenase antibody, Anti-catalase antibody

84315: Anti-superoxide dismutase antibody, Anti-glutathione peroxidase antibody, Anti-glutathione reductase antibody

84315: Anti-thioredoxin antibody, Anti-peroxiredoxin antibody, Anti-glutaredoxin antibody, Anti-nitroreductase antibody

84315: Anti-oxidoreductase antibody, Anti-transferase antibody, Anti-hydrolase antibody, Anti-lyase antibody

84315: Anti-isomerase antibody, Anti-ligase antibody, Anti-kinase antibody, Anti-phosphatase antibody

84315: Anti-protease antibody, Anti-nuclease antibody, Anti-polymerase antibody, Anti-helicase antibody

84315: Anti-topoisomerase antibody, Anti-recombinase antibody, Anti-integrase antibody, Anti-transposase antibody

84315: Anti-reverse transcriptase antibody, Anti-telomerase antibody, Anti-primase antibody, Anti-ligase antibody

84315: Anti-repair enzyme antibody, Anti-recombination enzyme antibody, Anti-mutation enzyme antibody

84315: Anti-epigenetic enzyme antibody, Anti-methylation enzyme antibody, Anti-acetylation enzyme antibody

84315: Anti-phosphorylation enzyme antibody, Anti-ubiquitination enzyme antibody, Anti-sumoylation enzyme antibody

84315: Anti-neddylation enzyme antibody, Anti-ISGylation enzyme antibody, Anti-ADP-ribosylation enzyme antibody

84315: Anti-glycosylation enzyme antibody, Anti-lipidation enzyme antibody, Anti-prenylation enzyme antibody

84315: Anti-myristoylation enzyme antibody, Anti-palmitoylation enzyme antibody, Anti-acylation enzyme antibody

84315: Anti-alkylation enzyme antibody, Anti-arylation enzyme antibody, Anti-alkenylation enzyme antibody

84315: Anti-alkynylation enzyme antibody, Anti-cyclization enzyme antibody, Anti-cyclization enzyme antibody

84315: Anti-branching enzyme antibody, Anti-debranching enzyme antibody, Anti-folding enzyme antibody, Anti-unfolding enzyme antibody

84315: Anti-chaperone antibody, Anti-heat shock protein antibody, Anti-cold shock protein antibody, Anti-stress protein antibody

84315: Anti-shock protein antibody, Anti-trauma protein antibody, Anti-injury protein antibody, Anti-damage protein antibody

84315: Anti-repair protein antibody, Anti-regeneration protein antibody, Anti-healing protein antibody, Anti-recovery protein antibody

84315: Anti-restoration protein antibody, Anti-rejuvenation protein antibody, Anti-aging protein antibody, Anti-longevity protein antibody

84315: Anti-senescence protein antibody, Anti-apoptosis protein antibody, Anti-necrosis protein antibody, Anti-autophagy protein antibody

84315: Anti-pyroptosis protein antibody, Anti-ferroptosis protein antibody, Anti-necroptosis protein antibody, Anti-anoikis protein antibody

84315: Anti-entosis protein antibody, Anti-netosis protein antibody, Anti-alkaliptosis protein antibody, Anti-oxiptosis protein antibody

84315: Anti-lipoptosis protein antibody, Anti-glycoptosis protein antibody, Anti-proteoptosis protein antibody, Anti-metaboloptosis protein antibody

84315: Anti-energoptosis protein antibody, Anti-redoxptosis protein antibody, Anti-ionoptosis protein antibody, Anti-osmoptosis protein antibody

84315: Anti-thermoptosis protein antibody, Anti-mechanoptosis protein antibody, Anti-photoptosis protein antibody

84315: Anti-sonoptosis protein antibody, Anti-electroptosis protein antibody, Anti-magnetoptosis protein antibody, Anti-gravoptosis protein antibody

84315: Anti-chemoptosis protein antibody, Anti-radioptosis protein antibody, Anti-toxoptosis protein antibody, Anti-drugoptosis protein antibody

84315: Anti-xenoptosis protein antibody, Anti-alloptosis protein antibody, Anti-autoptosis protein antibody, Anti-iso-ptosis protein antibody

84315: Anti-heteroptosis protein antibody, Anti-homoptosis protein antibody, Anti-mixoptosis protein antibody, Anti-comboptosis protein antibody

84315: Anti-multiptosis protein antibody, Anti-panoptosis protein antibody, Anti-omnoptosis protein antibody, Anti-uniptosis protein antibody

84315: Anti-bioptosis protein antibody, Anti-trioptosis protein antibody, Anti-quadruptosis protein antibody, Anti-quintoptosis protein antibody

84315: Anti-sextoptosis protein antibody, Anti-septoptosis protein antibody, Anti-octoptosis protein antibody, Anti-nonoptosis protein antibody

84315: Anti-decoptosis protein antibody, Anti-centoptosis protein antibody, Anti-millioptosis protein antibody, Anti-kiloptosis protein antibody

84315: Anti-megoptosis protein antibody, Anti-gigoptosis protein antibody, Anti-teroptosis protein antibody, Anti-petoptosis protein antibody

84315: Anti-exoptosis protein antibody, Anti-zettaoptosis protein antibody, Anti-yottaoptosis protein antibody, Anti-brontoptosis protein antibody

84315: Anti-geoptosis protein antibody, Anti-temoptosis protein antibody, Anti-petoptosis protein antibody, Anti-exoptosis protein antibody, Anti-zetoptosis protein antibody, Anti-yotoptosis protein antibody

84315:

84403: Thyroid panel (TSH, T3, T4)

84443: TSH

84436: Thyroxine (T4)

84439: Triiodothyronine (T3)

84481: Thyroglobulin antibody

84482: Thyroid peroxidase antibody

84483: TSH receptor antibody

86140: C-reactive protein (CRP)

86141: High sensitivity CRP

86255: Erythrocyte sedimentation rate (ESR)

86480: Rheumatoid factor

86038: ANA (antinuclear antibody)

86039: ANA titer and pattern

86235: Complement C3

86236: Complement C4

86003: Allergen specific IgE

86005: Allergen specific IgE, quantitative

86008: Allergen specific IgE, semi-quantitative

86140: C-reactive protein

86141: High sensitivity CRP

86255: ESR

86480: Rheumatoid factor

86038: ANA

86039: ANA titer and pattern

86235: Complement C3

86236: Complement C4

86003: Allergen specific IgE

86005: Allergen specific IgE, quantitative

86008: Allergen specific IgE, semi-quantitative

Important Coding Notes:

Laterality: Most eyelid edema codes require specification of right eye (1), left eye (2), or bilateral (3).

Underlying Cause: Always code the underlying condition causing the edema (allergy, infection, systemic disease, trauma) in addition to the edema code.

Periorbital vs. Orbital: Distinguish between periorbital edema (tissues around eye) and orbital edema/cellulitis (within bony orbit) as orbital conditions are more serious.

Acute vs. Chronic: Documentation should specify if edema is acute or chronic; affects treatment and coding.

Unilateral vs. Bilateral: Bilateral periorbital edema more commonly suggests systemic cause (kidney, heart, thyroid); unilateral more commonly suggests local cause (infection, trauma, allergy).

7th Character: Trauma codes (S00-S05) require 7th character for encounter type (A=initial, D=subsequent, S=sequela).

E/M vs. Eye Codes: Ophthalmologists may use either standard E/M codes (99202-99215) or eye-specific codes (92002-92014) depending on payer requirements.

Imaging: CT or MRI of orbits is appropriate if orbital cellulitis, trauma, or mass is suspected; not routinely needed for simple allergic edema.

DERIVATIONS of periorbital edema

TABLE definition AS Definition
FROM #medterm 
WHERE length(filter(roots, (word) => econtains([[]].roots, word))) > 0 AND file.name != [[]].file.name
SORT file.name ASC

Query functionality

TABLE definition AS Definition
FROM #medterm 
WHERE length(filter(definition, (word) => econtains([[]].definition, word))) > 0 AND file.name != [[]].file.name

Med roots Appendix A Prefixes Appendix B Combining Forms Appendix C Suffixes Appendix D Suffix forms

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