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ICD-10 Guide
DiagnosesOcular Rosacea

Ocular Rosacea

ICD-10 Coding for Ocular Rosacea(L71.9, H10.821, H10.823)

PRIMARY SPECIALTYOphthalmology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Ocular Rosacea?
Essential facts and insights about Ocular Rosacea

Key Clinical Considerations:

  • Flushing and persistent redness of the eyes
  • Burning or stinging sensation in the eyes
  • Dryness or gritty feeling in the eyes
  • Telangiectasia around the eyelids
  • Possible conjunctival injection

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of facial rosacea
  • Detailed description of ocular symptoms
  • Assessment of visual acuity and ocular surface
  • Photographic documentation of ocular findings
  • Use of specific terminology such as 'blepharitis' or 'keratitis' if present

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use H01.03 for ocular rosacea specifically; do not confuse with other forms of rosacea.
  • Common errors: Misclassifying ocular rosacea under general rosacea codes.

Code Exclusions

Important Exclusions

  • Excluded conditions: Other forms of conjunctivitis or blepharitis not related to rosacea.
  • Alternative codes: Use H01.00 for unspecified blepharitis if ocular rosacea is not confirmed.

Related ICD-10 Codes

Primary Codes
H01.03
Ocular rosacea
Ancillary Codes
H04.121
H04.123
Differential Codes
L21.9
H10.1
H13.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Ophthalmology

Specialty Applications

  • Patient populations: Adults with a history of rosacea, particularly women aged 30-50.
  • Clinical settings: Ophthalmology clinics, dermatology practices, and primary care.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document all symptoms, history of facial rosacea, and any ocular surface findings.

What are the billing considerations?

Ensure accurate coding to reflect the severity and specific symptoms for appropriate reimbursement.