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ICD-10 Guide
ICD-10 CodesH01.1

H01.1

Non-billable

Noninfectious dermatoses of eyelid

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

Code Description

ICD-10 H01.1 is a used to indicate a diagnosis of noninfectious dermatoses of eyelid.

Key Diagnostic Point:

H01.1 refers to noninfectious dermatoses of the eyelid, which encompasses a variety of inflammatory skin conditions affecting the eyelid region. Common presentations include dermatitis, eczema, and contact dermatitis, characterized by symptoms such as redness, swelling, itching, and scaling. The eyelid anatomy involved includes the skin, conjunctiva, and underlying structures such as the lacrimal glands and meibomian glands. Disease progression can vary, with acute cases often resolving with appropriate treatment while chronic conditions may require ongoing management. Diagnostic considerations include a thorough patient history, physical examination, and possibly patch testing to identify allergens. Clinicians should differentiate between infectious causes and noninfectious dermatoses to ensure accurate diagnosis and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from infectious causes and other eyelid disorders.
  • Treatment complexity: Management may involve topical steroids, antihistamines, or avoidance of irritants.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis and treatment.
  • Coding specificity: Requires accurate identification of the specific type of dermatosis.

Audit Risk Factors

  • Common coding errors: Misclassification of infectious versus noninfectious conditions.
  • Documentation gaps: Incomplete patient history or lack of detailed examination notes.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

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

Noninfectious dermatoses of the eyelid can significantly impact patient quality of life, leading to discomfort and cosmetic concerns. Understanding the epidemiology of these conditions is essential for population health management, as they can affect individuals across various demographics. Effective management can reduce healthcare utilization and improve patient outcomes, making awareness and accurate coding critical for healthcare providers.

ICD-9 vs ICD-10

Noninfectious dermatoses of the eyelid can significantly impact patient quality of life, leading to discomfort and cosmetic concerns. Understanding the epidemiology of these conditions is essential for population health management, as they can affect individuals across various demographics. Effective management can reduce healthcare utilization and improve patient outcomes, making awareness and accurate coding critical for healthcare providers.

Reimbursement & Billing Impact

reimbursement issues.

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 H01.1?

H01.1 covers conditions such as allergic contact dermatitis, atopic dermatitis, seborrheic dermatitis, and other noninfectious inflammatory conditions affecting the eyelids.

When should H01.1 be used instead of related codes?

H01.1 should be used when the eyelid condition is confirmed to be noninfectious and primarily inflammatory, distinguishing it from codes related to infectious processes or other eyelid disorders.

What documentation supports H01.1?

Documentation should include a detailed clinical history, physical examination findings, and any diagnostic tests performed, such as allergy testing, to substantiate the diagnosis of noninfectious dermatoses.