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ICD-10 Guide
ICD-10 CodesH01.11

H01.11

Non-billable

Allergic dermatitis of eyelid

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

Code Description

ICD-10 H01.11 is a used to indicate a diagnosis of allergic dermatitis of eyelid.

Key Diagnostic Point:

Allergic dermatitis of the eyelid is an inflammatory skin condition characterized by redness, swelling, and itching of the eyelid due to an allergic reaction. The eyelid is composed of delicate skin that is highly susceptible to allergens, including cosmetics, topical medications, and environmental factors. Clinically, patients may present with symptoms such as erythema, edema, and pruritus, often accompanied by tearing or discharge. The condition can progress from acute to chronic, with potential complications including secondary infections or scarring if not managed appropriately. Diagnostic considerations involve a thorough patient history, identification of potential allergens, and, if necessary, patch testing to confirm the diagnosis. The periocular anatomy, including the eyelids, conjunctiva, and surrounding tissues, plays a critical role in the presentation and management of allergic dermatitis, necessitating a comprehensive understanding of these structures for effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of specific allergens and may involve testing.
  • Treatment complexity: Management may include avoidance of allergens, topical corticosteroids, and antihistamines.
  • Documentation requirements: Detailed patient history and clinical findings are essential for accurate coding.
  • Coding specificity: Requires precise coding to differentiate from other dermatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with other dermatitis codes.
  • Documentation gaps: Incomplete allergy history or lack of testing documentation.
  • Billing challenges: Denials may occur if the medical necessity is not clearly established.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

Allergic dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and potential complications. Understanding its prevalence and management is crucial for improving population health outcomes. Effective treatment can reduce healthcare utilization patterns, as patients may require fewer visits for complications if the condition is managed appropriately. Epidemiologically, the condition is common in individuals with a history of atopy or exposure to known allergens, highlighting the need for awareness and preventive measures.

ICD-9 vs ICD-10

Allergic dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and potential complications. Understanding its prevalence and management is crucial for improving population health outcomes. Effective treatment can reduce healthcare utilization patterns, as patients may require fewer visits for complications if the condition is managed appropriately. Epidemiologically, the condition is common in individuals with a history of atopy or exposure to known allergens, highlighting the need for awareness and preventive measures.

Reimbursement & Billing Impact

reimbursement.

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 H01.11?

H01.11 covers allergic contact dermatitis specifically affecting the eyelids, which can be triggered by substances like cosmetics, metals, or topical medications. It is essential to differentiate it from other forms of dermatitis, such as irritant dermatitis or atopic dermatitis.

When should H01.11 be used instead of related codes?

H01.11 should be used when the dermatitis is specifically due to an allergic reaction affecting the eyelids. If the dermatitis is due to irritants or other non-allergic causes, related codes such as H01.12 should be considered.

What documentation supports H01.11?

Documentation should include a detailed patient history, identification of potential allergens, clinical findings, and any diagnostic tests performed, such as patch testing, to confirm the allergic nature of the dermatitis.