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ICD-10 Guide
ICD-10 CodesH01.136

H01.136

Billable

Eczematous dermatitis of left eye, unspecified eyelid

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

Code Description

ICD-10 H01.136 is a billable code used to indicate a diagnosis of eczematous dermatitis of left eye, unspecified eyelid.

Key Diagnostic Point:

Eczematous dermatitis of the left eye, unspecified eyelid, is characterized by inflammation of the skin on the eyelid, presenting with symptoms such as redness, itching, and scaling. The eyelid anatomy includes the skin, muscles, and connective tissues that protect the eye and facilitate blinking. Eczematous dermatitis can arise from various triggers, including allergens, irritants, or underlying systemic conditions. The condition may progress from acute to chronic stages, with potential complications such as secondary infections or eyelid swelling. Diagnosis typically involves a thorough clinical examination, patient history, and sometimes patch testing to identify specific allergens. Treatment may include topical corticosteroids, emollients, and avoidance of identified triggers. Understanding the periocular anatomy is crucial for effective management, as the eyelids play a vital role in ocular health and protection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other eyelid conditions such as blepharitis or contact dermatitis.
  • Treatment complexity: May involve multiple treatment modalities and patient education on trigger avoidance.
  • Documentation requirements: Detailed documentation of symptoms, treatment response, and follow-up is essential.
  • Coding specificity: Requires precise coding to reflect the specific eyelid affected and the nature of the dermatitis.

Audit Risk Factors

  • Common coding errors: Misidentifying the affected eyelid or using a non-specific dermatitis code.
  • Documentation gaps: Incomplete patient history or lack of detailed treatment notes.
  • Billing challenges: Potential denials due to insufficient evidence of medical necessity or lack of specificity in coding.

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 a patient's quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it can affect various populations, particularly those with a history of allergies or atopic conditions. Effective management and coding of this condition can improve healthcare utilization patterns and contribute to better population health outcomes.

ICD-9 vs ICD-10

Eczematous dermatitis of the eyelid can significantly impact a patient's quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it can affect various populations, particularly those with a history of allergies or atopic conditions. Effective management and coding of this condition can improve healthcare utilization patterns and contribute to better population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for treatment is clearly documented, particularly if topical corticosteroids or other medications are prescribed. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Coders should ensure that all relevant details are included in the patient's medical record to support the claim and facilitate timely 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 H01.136?

H01.136 specifically covers eczematous dermatitis affecting the left eyelid, which may include allergic contact dermatitis, irritant contact dermatitis, and atopic dermatitis localized to the eyelid area.

When should H01.136 be used instead of related codes?

H01.136 should be used when the condition is specifically localized to the left eyelid and is characterized as eczematous dermatitis. If the condition affects the right eyelid or both eyelids, other codes such as H01.135 or H01.137 should be considered.

What documentation supports H01.136?

Documentation should include a detailed clinical examination, patient history regarding potential allergens or irritants, treatment plans, and follow-up notes indicating the response to treatment.