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ICD-10 Guide
ICD-10 CodesH01.134

H01.134

Billable

Eczematous dermatitis of left upper eyelid

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

Code Description

ICD-10 H01.134 is a billable code used to indicate a diagnosis of eczematous dermatitis of left upper eyelid.

Key Diagnostic Point:

Eczematous dermatitis of the left upper eyelid is characterized by inflammation of the skin on the eyelid, often presenting as redness, swelling, and itching. The condition may be triggered by allergens, irritants, or underlying skin conditions. The eyelid anatomy includes the skin, muscle, and connective tissue, which are all involved in the inflammatory process. Disease progression can lead to chronic dermatitis if not managed properly, resulting in thickened skin and potential complications such as secondary infections. Diagnostic considerations include a thorough patient history, physical examination, and possibly patch testing to identify allergens. Clinicians should differentiate eczematous dermatitis from other eyelid disorders, such as blepharitis or contact dermatitis, to ensure appropriate treatment. Management typically involves topical corticosteroids, moisturizers, and avoidance of identified triggers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other eyelid conditions.
  • Treatment complexity: Involves topical therapies and lifestyle modifications.
  • Documentation requirements: Detailed patient history and treatment response needed.
  • Coding specificity: Specific to left upper eyelid, necessitating precise coding.

Audit Risk Factors

  • Common coding errors: Misidentification of eyelid location or type of dermatitis.
  • Documentation gaps: Incomplete patient history or lack of treatment details.
  • Billing challenges: Potential denials due to insufficient evidence of medical necessity.

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

Eczematous dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and cosmetic concerns. Understanding its prevalence and management is essential for improving population health outcomes. Effective treatment can reduce healthcare utilization by minimizing complications and the need for more extensive interventions. Epidemiologically, the condition may be more prevalent in individuals with a history of atopy or allergic conditions, highlighting the importance of targeted prevention and management strategies.

ICD-9 vs ICD-10

Eczematous dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and cosmetic concerns. Understanding its prevalence and management is essential for improving population health outcomes. Effective treatment can reduce healthcare utilization by minimizing complications and the need for more extensive interventions. Epidemiologically, the condition may be more prevalent in individuals with a history of atopy or allergic conditions, highlighting the importance of targeted prevention and management strategies.

Reimbursement & Billing Impact

Reimbursement may vary based on the payer, so understanding the specific requirements for eczematous dermatitis is crucial. Common denials may arise from insufficient documentation or lack of medical necessity, particularly if the condition is not well-documented. Best practices include maintaining clear records of patient history, treatment plans, and responses to therapy to support claims effectively.

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 H01.134?

H01.134 specifically covers eczematous dermatitis localized to the left upper eyelid, which may include allergic contact dermatitis, irritant contact dermatitis, and atopic dermatitis affecting this area.

When should H01.134 be used instead of related codes?

Use H01.134 when the condition is specifically diagnosed as eczematous dermatitis of the left upper eyelid, differentiating it from other eyelid dermatitis codes based on location and type.

What documentation supports H01.134?

Documentation should include a detailed patient history, clinical findings, treatment plans, and responses to therapy, along with any diagnostic tests performed to identify allergens.