ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH01.111

H01.111

Billable

Allergic dermatitis of right upper eyelid

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

Code Description

ICD-10 H01.111 is a billable code used to indicate a diagnosis of allergic dermatitis of right upper eyelid.

Key Diagnostic Point:

Allergic dermatitis of the right upper eyelid is characterized by an inflammatory response of the skin due to exposure to allergens. Clinically, patients may present with erythema, swelling, itching, and sometimes vesicular lesions localized to the upper eyelid. The periocular anatomy includes the eyelid skin, conjunctiva, and lacrimal system, all of which can be affected by allergic reactions. The eyelids serve as a protective barrier for the eye and are rich in blood vessels and nerve endings, making them particularly sensitive to irritants. Disease progression may involve chronic inflammation if the allergen is not identified and removed, leading to potential complications such as secondary infections or scarring. Diagnostic considerations include a thorough patient history, identification of potential allergens, and possibly patch testing to confirm the specific cause of dermatitis. It is essential to differentiate allergic dermatitis from other eyelid disorders such as atopic dermatitis or contact dermatitis to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of specific allergens and differentiation from other conditions.
  • Treatment complexity: May involve topical corticosteroids, antihistamines, and avoidance strategies.
  • Documentation requirements: Detailed clinical notes and history of exposure are necessary.
  • Coding specificity: Requires precise coding to reflect the affected eyelid and type of dermatitis.

Audit Risk Factors

  • Common coding errors: Misidentifying the side of the eyelid affected.
  • Documentation gaps: Incomplete allergy history or lack of diagnostic testing documentation.
  • Billing challenges: Potential denials if the 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

Allergic dermatitis of the eyelid can significantly impact a patient's quality of life, leading to discomfort and potential vision impairment if not managed properly. The prevalence of allergic conditions is rising, making it crucial for healthcare providers to recognize and treat these disorders effectively. Understanding the epidemiology of allergic dermatitis can inform public health initiatives aimed at reducing exposure to common allergens and improving patient outcomes.

ICD-9 vs ICD-10

Allergic dermatitis of the eyelid can significantly impact a patient's quality of life, leading to discomfort and potential vision impairment if not managed properly. The prevalence of allergic conditions is rising, making it crucial for healthcare providers to recognize and treat these disorders effectively. Understanding the epidemiology of allergic dermatitis can inform public health initiatives aimed at reducing exposure to common allergens and improving patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for allergy testing and treatment. Common denials may arise from insufficient documentation or lack of clarity regarding the specific diagnosis. Best practices include maintaining thorough clinical notes, ensuring that all relevant patient history is documented, and using precise coding to reflect the condition accurately.

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 H01.111?

H01.111 specifically covers allergic dermatitis localized to the right upper eyelid, which may arise from contact with allergens such as cosmetics, medications, or environmental factors.

When should H01.111 be used instead of related codes?

H01.111 should be used when the allergic dermatitis is confirmed to be localized to the right upper eyelid, distinguishing it from other eyelid dermatitis codes that may involve different locations or causes.

What documentation supports H01.111?

Documentation should include a detailed patient history of exposure to allergens, clinical findings such as erythema and swelling, and any diagnostic tests performed, such as patch testing.