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ICD-10 Guide
ICD-10 CodesH01.029

H01.029

Billable

Squamous blepharitis unspecified eye, unspecified eyelid

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

Code Description

ICD-10 H01.029 is a billable code used to indicate a diagnosis of squamous blepharitis unspecified eye, unspecified eyelid.

Key Diagnostic Point:

H01.029 refers to squamous blepharitis affecting an unspecified eye and eyelid. This condition is characterized by inflammation of the eyelid margins, leading to crusting, redness, and irritation. Clinically, patients may present with symptoms such as itching, burning, and a gritty sensation in the eyes. The anatomy involved includes the eyelids, which serve as protective barriers for the eyes, and the lacrimal system, which is responsible for tear production and drainage. Disease progression can vary; if left untreated, squamous blepharitis may lead to more severe complications such as conjunctivitis or keratitis. Diagnostic considerations include a thorough patient history, physical examination, and possibly laboratory tests to rule out other conditions. The diagnosis is often made based on clinical presentation and may require differentiation from other types of blepharitis, such as seborrheic or ulcerative blepharitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the eye affected.
  • Documentation gaps may arise if the specific type of blepharitis is not clearly noted.
  • Billing challenges can occur if the condition is not well-documented, leading to potential denials.

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

Squamous blepharitis can significantly impact patient quality of life due to discomfort and potential vision impairment. It is prevalent in various populations, particularly among individuals with skin conditions. Understanding and managing this condition is crucial for improving patient outcomes and reducing healthcare utilization related to complications.

ICD-9 vs ICD-10

Squamous blepharitis can significantly impact patient quality of life due to discomfort and potential vision impairment. It is prevalent in various populations, particularly among individuals with skin conditions. Understanding and managing this condition is crucial for improving patient outcomes and reducing healthcare utilization related to complications.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Best practices include maintaining thorough records of patient interactions, treatment plans, and follow-up care to support claims.

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 H01.029?

H01.029 covers squamous blepharitis, which is characterized by flaky, scaly skin on the eyelids. It may be associated with other skin conditions such as seborrheic dermatitis or psoriasis.

When should H01.029 be used instead of related codes?

H01.029 should be used when the specific eye and eyelid affected are not documented. If the condition is localized to one eye, use H01.021 or H01.022 instead.

What documentation supports H01.029?

Documentation should include a detailed clinical examination, patient symptoms, and any treatments attempted. Photographic evidence may also support the diagnosis.