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ICD-10 Guide
ICD-10 CodesH01.113

H01.113

Billable

Allergic dermatitis of right eye, unspecified eyelid

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

Code Description

ICD-10 H01.113 is a billable code used to indicate a diagnosis of allergic dermatitis of right eye, unspecified eyelid.

Key Diagnostic Point:

Allergic dermatitis of the right eye, specifically affecting the unspecified eyelid, is characterized by an inflammatory response of the skin on the eyelid due to allergens. Clinically, patients may present with symptoms such as redness, swelling, itching, and possibly crusting or scaling of the eyelid skin. The eyelid anatomy includes the skin, muscles, and connective tissues that protect the eye and aid in tear distribution. Allergic dermatitis can progress from acute to chronic stages, with chronic cases potentially leading to lichenification or thickening of the skin. Diagnostic considerations include a thorough patient history to identify potential allergens, physical examination findings, and possibly patch testing to confirm specific sensitivities. It is essential to differentiate allergic dermatitis from other eyelid conditions such as contact dermatitis, atopic dermatitis, or infections, which may require different management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires identification of allergens and differentiation from other conditions.
  • Treatment complexity: May involve topical corticosteroids, antihistamines, and avoidance of triggers.
  • Documentation requirements: Detailed patient history and examination findings are necessary.
  • Coding specificity: Specific to allergic dermatitis of the right eyelid, necessitating precise documentation.

Audit Risk Factors

  • Common coding errors: Misidentifying the affected eyelid or using a more general dermatitis code.
  • Documentation gaps: Incomplete allergy history or lack of examination details.
  • 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

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 patients' quality of life, leading to discomfort and potential vision issues if not managed properly. It is essential for healthcare providers to recognize and treat this condition to reduce healthcare utilization and improve patient outcomes. Epidemiologically, allergic conditions are on the rise, making awareness and effective management of eyelid dermatitis increasingly relevant in population health.

ICD-9 vs ICD-10

Allergic dermatitis of the eyelid can significantly impact patients' quality of life, leading to discomfort and potential vision issues if not managed properly. It is essential for healthcare providers to recognize and treat this condition to reduce healthcare utilization and improve patient outcomes. Epidemiologically, allergic conditions are on the rise, making awareness and effective management of eyelid dermatitis increasingly relevant in population health.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis aligns with the services provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough records of patient interactions, treatment responses, and follow-up care to support claims effectively.

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 H01.113?

H01.113 specifically covers allergic dermatitis affecting the right eyelid, which may be triggered by various allergens such as cosmetics, environmental factors, or contact with irritants. It does not cover other forms of dermatitis or eyelid conditions not related to allergies.

When should H01.113 be used instead of related codes?

H01.113 should be used when the allergic dermatitis is confirmed to affect the right eyelid specifically. If the condition affects the left eyelid, H01.112 should be used. For generalized dermatitis without specific eyelid involvement, a different code may be more appropriate.

What documentation supports H01.113?

Documentation should include a detailed patient history indicating potential allergens, clinical examination findings showing symptoms localized to the right eyelid, and any diagnostic tests performed, such as patch testing, to confirm the allergic nature of the dermatitis.