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ICD-10 Guide
ICD-10 CodesH01.143

H01.143

Billable

Xeroderma of right eye, unspecified eyelid

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

Code Description

ICD-10 H01.143 is a billable code used to indicate a diagnosis of xeroderma of right eye, unspecified eyelid.

Key Diagnostic Point:

Xeroderma of the right eye, unspecified eyelid, refers to a condition characterized by abnormal dryness of the skin on the eyelid, which can lead to irritation, inflammation, and discomfort. The eyelid anatomy includes the skin, muscles, and connective tissues that protect the eye and assist in tear distribution. Xeroderma can result from various factors, including environmental conditions, systemic diseases, or localized skin disorders. Clinically, patients may present with symptoms such as redness, scaling, and a sensation of tightness or burning around the eyelid. Disease progression can lead to complications like dermatitis or secondary infections if left untreated. Diagnostic considerations include a thorough patient history, physical examination, and potentially skin biopsy to rule out other dermatological conditions. Treatment typically involves moisturizing agents, topical corticosteroids, and addressing any underlying causes to restore normal eyelid function and comfort.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other eyelid conditions.
  • Treatment complexity: Moderate, involving topical therapies and potential referral to dermatology.
  • Documentation requirements: Requires detailed clinical notes and symptom descriptions.
  • Coding specificity: Specific to xeroderma of the right eyelid, which aids in accurate coding.

Audit Risk Factors

  • Common coding errors: Misclassification with other eyelid disorders.
  • Documentation gaps: Incomplete patient history or symptom descriptions.
  • Billing challenges: Potential denials if the condition is not clearly documented.

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

The clinical significance of H01.143 lies in its potential to affect patient quality of life due to discomfort and cosmetic concerns. Xeroderma can lead to increased healthcare utilization, including visits to specialists and potential treatments for secondary infections. Understanding the epidemiology of eyelid disorders like xeroderma can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving patient outcomes and reducing healthcare costs.

ICD-9 vs ICD-10

The clinical significance of H01.143 lies in its potential to affect patient quality of life due to discomfort and cosmetic concerns. Xeroderma can lead to increased healthcare utilization, including visits to specialists and potential treatments for secondary infections. Understanding the epidemiology of eyelid disorders like xeroderma can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving patient outcomes and reducing healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the medical necessity of prescribed treatments, such as topical medications or referrals to specialists. Common denials may arise from insufficient documentation or failure to demonstrate the need for treatment. Best practices include maintaining thorough clinical notes, ensuring that all relevant symptoms are documented, and following up on any claims to address potential issues promptly.

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 H01.143?

H01.143 covers xeroderma specifically affecting the right eyelid, which may include conditions like atopic dermatitis, contact dermatitis, or other forms of localized skin dryness.

When should H01.143 be used instead of related codes?

H01.143 should be used when the diagnosis specifically indicates xeroderma of the right eyelid, differentiating it from conditions affecting the left eyelid or other eyelid disorders.

What documentation supports H01.143?

Documentation should include a detailed clinical assessment of the eyelid, patient-reported symptoms, treatment history, and any relevant diagnostic tests performed.