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ICD-10 Guide
ICD-10 CodesH01.145

H01.145

Billable

Xeroderma of left lower eyelid

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

Code Description

ICD-10 H01.145 is a billable code used to indicate a diagnosis of xeroderma of left lower eyelid.

Key Diagnostic Point:

Xeroderma of the left lower eyelid, classified under H01.145, 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 facilitate blinking. Xeroderma may arise from various factors such as environmental exposure, underlying systemic conditions, or localized skin disorders. Clinically, patients may present with symptoms like redness, scaling, and a sensation of tightness or itchiness in the affected area. Disease progression can vary; if left untreated, xeroderma may lead to secondary infections or exacerbate existing conditions like blepharitis. Diagnostic considerations include a thorough patient history, physical examination, and possibly skin biopsy to rule out other dermatological conditions. It is crucial for healthcare providers to differentiate xeroderma from other eyelid disorders, such as eczema or psoriasis, to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other eyelid conditions.
  • Treatment complexity: May involve topical treatments or lifestyle modifications.
  • Documentation requirements: Detailed patient history and symptom description needed.
  • Coding specificity: Specific to the left lower eyelid, necessitating precise coding.

Audit Risk Factors

  • Common coding errors: Misidentifying the eyelid affected or using a non-specific code.
  • Documentation gaps: Incomplete patient history or lack of symptom detail.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect 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

Xeroderma of the left lower eyelid can significantly affect a patient's quality of life, leading to discomfort and potential complications if not managed properly. Understanding the epidemiology of this condition helps healthcare providers recognize its prevalence and impact on population health. Quality measures may include tracking treatment outcomes and patient satisfaction, while healthcare utilization patterns can reflect the need for dermatological and ophthalmological services in managing such conditions.

ICD-9 vs ICD-10

Xeroderma of the left lower eyelid can significantly affect a patient's quality of life, leading to discomfort and potential complications if not managed properly. Understanding the epidemiology of this condition helps healthcare providers recognize its prevalence and impact on population health. Quality measures may include tracking treatment outcomes and patient satisfaction, while healthcare utilization patterns can reflect the need for dermatological and ophthalmological services in managing such conditions.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the medical necessity of the diagnosis and any associated procedures. Common denials may arise from insufficient documentation or incorrect coding, so it is essential to ensure that all clinical notes support the diagnosis. Best practices include using precise coding, maintaining thorough patient records, and regularly reviewing coding guidelines to stay compliant with payer requirements.

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 H01.145?

H01.145 specifically covers xeroderma affecting the left lower eyelid, which may be due to environmental factors, skin diseases, or systemic conditions that lead to dryness.

When should H01.145 be used instead of related codes?

H01.145 should be used when the condition specifically affects the left lower eyelid, differentiating it from other eyelid xeroderma codes that pertain to different eyelids or general dryness.

What documentation supports H01.145?

Documentation should include a detailed description of symptoms, duration, any treatments attempted, and a physical examination noting the condition of the left lower eyelid.