Discoid lupus erythematosus of unspecified eye, unspecified eyelid
ICD-10 H01.129 is a billable code used to indicate a diagnosis of discoid lupus erythematosus of unspecified eye, unspecified eyelid.
Discoid lupus erythematosus (DLE) is a chronic autoimmune condition that primarily affects the skin but can also involve the eyes, particularly the eyelids. In the case of H01.129, the condition is specified as affecting the unspecified eye and eyelid, indicating that the exact location of the lesions is not detailed. Clinically, DLE presents as well-defined, erythematous plaques with adherent scales, which may lead to scarring and pigment changes. The eyelid involvement can cause cosmetic concerns and potential functional impairment, such as difficulty in closing the eye or exposure keratitis. The periocular anatomy includes the eyelids, conjunctiva, and surrounding skin, all of which can be affected by the inflammatory processes of DLE. Disease progression can vary, with some patients experiencing intermittent flares triggered by sun exposure or stress. Diagnostic considerations include a thorough clinical examination, patient history, and possibly a skin biopsy to confirm the diagnosis. Laboratory tests may also be conducted to assess for systemic lupus erythematosus (SLE), as DLE can be a localized manifestation of this broader condition.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H01.129 covers discoid lupus erythematosus affecting the eyelids and surrounding areas, characterized by chronic skin lesions that may lead to scarring and cosmetic concerns. It does not include systemic lupus erythematosus or other forms of lupus.
H01.129 should be used when the specific eye and eyelid involvement is not detailed. If the condition is localized to a specific eyelid or eye, then the corresponding specific code (e.g., H01.121 or H01.122) should be used.
Documentation should include a detailed clinical examination, patient history, treatment plans, and any laboratory results that support the diagnosis of discoid lupus erythematosus affecting the eyelid.
