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ICD-10 Guide
ICD-10 CodesH01.112

H01.112

Billable

Allergic dermatitis of right lower eyelid

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

Code Description

ICD-10 H01.112 is a billable code used to indicate a diagnosis of allergic dermatitis of right lower eyelid.

Key Diagnostic Point:

Allergic dermatitis of the right lower eyelid is characterized by an inflammatory response of the skin surrounding the eyelid due to exposure to allergens. Clinically, patients may present with erythema, swelling, pruritus, and crusting of the affected eyelid. The periocular anatomy includes the eyelids, conjunctiva, and surrounding skin, which are crucial for protecting the eye and maintaining tear film stability. Allergic dermatitis can progress from acute to chronic stages, leading to lichenification and potential secondary infections if not managed properly. Diagnostic considerations include a thorough patient history to identify potential allergens, physical examination findings, and possibly patch testing to confirm specific sensitivities. It is essential to differentiate allergic dermatitis from other eyelid disorders such as atopic dermatitis, contact dermatitis, and seborrheic dermatitis to ensure appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of allergens and differentiation from other conditions.
  • Treatment complexity: May involve topical corticosteroids, antihistamines, and avoidance of allergens.
  • Documentation requirements: Detailed patient history and clinical findings are necessary.
  • Coding specificity: Requires precise coding to reflect the specific location and type of dermatitis.

Audit Risk Factors

  • Common coding errors: Misidentifying the side of the eyelid affected.
  • Documentation gaps: Incomplete patient history regarding allergen exposure.
  • Billing challenges: Potential denials if documentation does not 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

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 vision issues if left untreated. It is essential to recognize the prevalence of allergic reactions in the population, as they can contribute to increased healthcare utilization and costs. Effective management of eyelid dermatitis can improve patient outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Allergic dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and potential vision issues if left untreated. It is essential to recognize the prevalence of allergic reactions in the population, as they can contribute to increased healthcare utilization and costs. Effective management of eyelid dermatitis can improve patient outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include verifying patient insurance coverage for dermatological and ophthalmological evaluations. Common denials may arise from insufficient documentation or incorrect coding of the affected eyelid. Best practices include thorough documentation of the clinical findings, treatment plans, and patient education regarding allergen avoidance to support the medical necessity of the services 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 H01.112?

H01.112 specifically covers allergic dermatitis localized to the right lower eyelid, which may arise from contact with allergens such as cosmetics, medications, or environmental factors.

When should H01.112 be used instead of related codes?

H01.112 should be used when the allergic dermatitis is specifically localized to the right lower eyelid, differentiating it from other eyelid dermatitis codes that may involve different locations or types.

What documentation supports H01.112?

Documentation should include a detailed patient history of allergen exposure, clinical findings such as erythema and swelling, and any diagnostic tests performed, such as patch testing.