Shingles (herpes zoster) of eyelid
ICD-10 B33.1 is a billable code used to indicate a diagnosis of shingles (herpes zoster) of eyelid.
Shingles, or herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus (VZV), which also causes chickenpox. When the virus reactivates, it can lead to a painful rash that typically appears in a dermatomal distribution. In the case of shingles affecting the eyelid, the rash may present with vesicular lesions, erythema, and significant discomfort. The eyelid involvement can lead to complications such as conjunctivitis, keratitis, or even vision loss if not treated promptly. Diagnosis is primarily clinical, supported by the characteristic presentation of the rash and associated symptoms such as pain, itching, and burning. Laboratory tests, including PCR or direct fluorescent antibody testing, may be utilized to confirm the diagnosis in atypical cases. Antiviral treatments, such as acyclovir, valacyclovir, or famciclovir, are effective in reducing the severity and duration of the symptoms, especially when initiated within 72 hours of rash onset. Pain management and supportive care are also essential components of treatment.
Detailed description of ocular symptoms, visual acuity assessments, and any complications.
Patients presenting with eyelid rash, pain, and visual disturbances.
Documentation must clearly indicate the involvement of the eyelid and any ocular complications.
History of varicella infection, immunocompromised status, and treatment response.
Patients with recurrent herpes zoster or those with atypical presentations.
Consideration of patient’s vaccination history and immune status.
Used for follow-up visits after initial diagnosis of shingles.
Document the patient's symptoms, treatment response, and any complications.
Ophthalmology may require additional visual assessments.
Common symptoms include a painful rash on the eyelid, vesicular lesions, itching, burning sensation, and potential visual disturbances.
