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ICD-10 Guide
ICD-10 CodesH01.114

H01.114

Billable

Allergic dermatitis of left upper eyelid

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

Code Description

ICD-10 H01.114 is a billable code used to indicate a diagnosis of allergic dermatitis of left upper eyelid.

Key Diagnostic Point:

Allergic dermatitis of the left upper eyelid is characterized by an inflammatory response of the skin due to exposure to allergens. Clinically, it presents with erythema, swelling, and pruritus localized to the left upper eyelid, often accompanied by vesicular lesions or crusting. The periocular anatomy includes the eyelids, conjunctiva, and surrounding skin, which are all susceptible to allergic reactions. The lacrimal system may also be affected if the inflammation leads to secondary complications such as conjunctivitis. Disease progression can vary; acute cases may resolve with allergen avoidance and topical corticosteroids, while chronic cases may require more extensive management. Diagnostic considerations include a thorough history of exposure to potential allergens, physical examination, and possibly patch testing to identify specific triggers. Accurate diagnosis is crucial to differentiate allergic dermatitis from other eyelid disorders such as atopic dermatitis or contact dermatitis, which may require different management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors: Misidentification of the affected eyelid or incorrect code for dermatitis type.
  • Documentation gaps: Incomplete patient history or lack of evidence for allergen exposure.
  • Billing challenges: Potential denials if documentation does not support the diagnosis or treatment provided.

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

Allergic dermatitis of the eyelid can significantly impact quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of allergic dermatitis helps in identifying at-risk populations and implementing preventive measures. Quality measures may include tracking the incidence of allergic reactions and patient satisfaction with treatment outcomes, which can inform healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

Allergic dermatitis of the eyelid can significantly impact quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of allergic dermatitis helps in identifying at-risk populations and implementing preventive measures. Quality measures may include tracking the incidence of allergic reactions and patient satisfaction with treatment outcomes, which can inform healthcare utilization patterns and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case and the need for follow-up visits. Documentation must clearly support the diagnosis of allergic dermatitis, including the specific location and any treatments administered. Common denials may occur if the documentation does not sufficiently demonstrate the medical necessity of the services rendered. Best practices include thorough documentation of patient history, clinical findings, and treatment plans.

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 H01.114?

H01.114 specifically covers allergic dermatitis localized to the left upper eyelid, which may result from contact with allergens such as cosmetics, medications, or environmental factors. It is important to differentiate it from other forms of dermatitis and allergic reactions.

When should H01.114 be used instead of related codes?

H01.114 should be used when the allergic dermatitis is specifically localized to the left upper eyelid. If the condition affects the right eyelid or other areas, different codes such as H01.113 or H01.119 should be utilized.

What documentation supports H01.114?

Documentation should include a detailed patient history, including potential allergen exposure, clinical findings such as the appearance of the eyelid, and any diagnostic tests performed, such as patch testing, to confirm the diagnosis.