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ICD-10 Guide
ICD-10 CodesH02.73

H02.73

Non-billable

Vitiligo of eyelid and periocular area

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 H02.73 is a used to indicate a diagnosis of vitiligo of eyelid and periocular area.

Key Diagnostic Point:

Vitiligo of the eyelid and periocular area is characterized by the loss of skin pigmentation, resulting in white patches on the eyelids and surrounding areas. This condition occurs due to the destruction of melanocytes, the cells responsible for producing melanin. Clinically, patients may present with asymptomatic, well-defined depigmented macules or patches that can vary in size and shape. The eyelid and periocular area are particularly sensitive, and the condition may lead to cosmetic concerns, impacting the patient's quality of life. Disease progression can be unpredictable; some patients may experience stable vitiligo, while others may see an extension of depigmentation. Diagnostic considerations include a thorough clinical examination and, if necessary, a skin biopsy to rule out other conditions such as autoimmune disorders or skin infections. The periocular anatomy includes the eyelids, conjunctiva, and surrounding skin, which are crucial for protecting the eye and maintaining visual function. Understanding the anatomy involved is essential for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other skin disorders.
  • Treatment complexity: May involve topical therapies, phototherapy, or cosmetic interventions.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis.
  • Coding specificity: Requires precise coding to reflect the specific location and nature of the condition.

Audit Risk Factors

  • Common coding errors: Misidentification of the condition or incorrect coding of the location.
  • Documentation gaps: Incomplete clinical notes that do not adequately describe the condition.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Ophthalmology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Vitiligo, particularly in the eyelid and periocular area, can significantly affect a patient's psychological well-being and social interactions. Understanding its prevalence and impact on quality of life is essential for healthcare providers. The condition may lead to increased healthcare utilization due to the need for dermatological consultations and treatments. Epidemiologically, vitiligo affects approximately 1% of the population, with varying degrees of severity, highlighting the importance of awareness and effective management strategies.

ICD-9 vs ICD-10

Vitiligo, particularly in the eyelid and periocular area, can significantly affect a patient's psychological well-being and social interactions. Understanding its prevalence and impact on quality of life is essential for healthcare providers. The condition may lead to increased healthcare utilization due to the need for dermatological consultations and treatments. Epidemiologically, vitiligo affects approximately 1% of the population, with varying degrees of severity, highlighting the importance of awareness and effective management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear clinical notes that outline the patient's condition and treatment plan. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatments. Best practices include ensuring that all relevant clinical information is included in the patient's record and that coding accurately reflects the condition and treatment provided.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for H00-H99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by H02.73?

H02.73 specifically covers vitiligo affecting the eyelid and periocular area, characterized by depigmented patches. It does not include other forms of vitiligo or skin conditions affecting the eyelids.

When should H02.73 be used instead of related codes?

H02.73 should be used when the clinical presentation specifically involves vitiligo localized to the eyelids and periocular area, differentiating it from generalized vitiligo or other skin disorders.

What documentation supports H02.73?

Documentation should include a detailed clinical examination, description of the lesions, patient history, and any diagnostic tests performed to confirm vitiligo and rule out other conditions.