ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH01.0

H01.0

Non-billable

Blepharitis

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

Code Description

ICD-10 H01.0 is a used to indicate a diagnosis of blepharitis.

Key Diagnostic Point:

Blepharitis is an inflammatory condition affecting the eyelids, characterized by redness, swelling, and irritation. It can be classified into two main types: seborrheic blepharitis, associated with seborrheic dermatitis, and staphylococcal blepharitis, caused by bacterial infection. The eyelid anatomy involved includes the skin, meibomian glands, and eyelashes, which can become clogged or infected, leading to symptoms such as crusting, itching, and discomfort. Disease progression may vary; chronic blepharitis can lead to complications such as conjunctivitis or keratitis if left untreated. Diagnosis typically involves a thorough clinical examination, including an assessment of eyelid margins and associated symptoms. Diagnostic considerations may include ruling out other eyelid disorders, such as chalazia or hordeola, and evaluating for underlying conditions like dry eye syndrome. Treatment often involves eyelid hygiene, warm compresses, and topical antibiotics or steroids, depending on the severity and underlying cause.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other eyelid conditions.
  • Treatment complexity: Moderate, with various management options based on etiology.
  • Documentation requirements: Requires detailed clinical notes on symptoms and treatment response.
  • Coding specificity: Fairly specific, but may require additional codes for associated conditions.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of blepharitis.
  • Documentation gaps: Incomplete records of symptoms or treatment plans.
  • Billing challenges: Denials may occur if the documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

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

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

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

Blepharitis is a common condition that can significantly affect quality of life due to discomfort and visual disturbances. Its prevalence highlights the importance of effective management in the population, as untreated cases can lead to more severe ocular complications. Understanding the epidemiology of blepharitis can help healthcare providers implement preventive measures and improve patient outcomes through targeted education and treatment strategies.

ICD-9 vs ICD-10

Blepharitis is a common condition that can significantly affect quality of life due to discomfort and visual disturbances. Its prevalence highlights the importance of effective management in the population, as untreated cases can lead to more severe ocular complications. Understanding the epidemiology of blepharitis can help healthcare providers implement preventive measures and improve patient outcomes through targeted education and treatment strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of the condition and the rationale for the chosen treatment. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough clinical notes, ensuring that all services rendered are clearly linked to the diagnosis, and utilizing appropriate modifiers when necessary to avoid billing issues.

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 H01.0?

H01.0 covers both seborrheic and staphylococcal blepharitis, characterized by inflammation of the eyelid margins, crusting, and irritation. It does not include other eyelid conditions such as chalazia or hordeola.

When should H01.0 be used instead of related codes?

H01.0 should be used when the primary diagnosis is blepharitis, particularly when symptoms and clinical findings align with this condition. Use related codes for specific types of blepharitis or other eyelid disorders.

What documentation supports H01.0?

Documentation should include a detailed history of symptoms, clinical findings from the examination of the eyelids, treatment plans, and responses to therapy. Photographic evidence may also be beneficial.