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ICD-10 Guide
ICD-10 CodesH01.132

H01.132

Billable

Eczematous dermatitis of right lower eyelid

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

Code Description

ICD-10 H01.132 is a billable code used to indicate a diagnosis of eczematous dermatitis of right lower eyelid.

Key Diagnostic Point:

Eczematous dermatitis of the right lower eyelid is characterized by inflammation of the skin, leading to redness, itching, and scaling in the periocular region. The eyelid anatomy includes the skin, muscle, and connective tissue, which are all susceptible to various irritants and allergens. Common triggers for eczematous dermatitis include contact with irritants such as soaps, cosmetics, or environmental allergens. Clinically, patients may present with symptoms such as pruritus, erythema, and crusting, which can significantly impact quality of life. Disease progression may lead to chronic changes, including lichenification and thickening of the skin if not adequately managed. Diagnostic considerations involve a thorough history to identify potential allergens, physical examination, and sometimes patch testing to confirm contact dermatitis. Differential diagnoses may include atopic dermatitis, seborrheic dermatitis, or other forms of dermatitis affecting the eyelids. Proper identification and management are crucial to prevent complications such as secondary infections or scarring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful differentiation from other dermatitis types.
  • Treatment complexity: May involve topical corticosteroids, antihistamines, or avoidance strategies.
  • Documentation requirements: Detailed history and examination findings are essential.
  • Coding specificity: Requires precise coding to capture the specific eyelid location.

Audit Risk Factors

  • Common coding errors: Misidentification of the eyelid affected.
  • Documentation gaps: Incomplete patient history or lack of allergy testing results.
  • Billing challenges: Potential denials due to insufficient documentation of treatment rationale.

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

Eczematous dermatitis of the eyelid can significantly affect patient quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it can affect various demographics, particularly those with a history of atopic conditions. Effective management can reduce healthcare utilization by minimizing the need for more invasive treatments or specialist referrals.

ICD-9 vs ICD-10

Eczematous dermatitis of the eyelid can significantly affect patient quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it can affect various demographics, particularly those with a history of atopic conditions. Effective management can reduce healthcare utilization by minimizing the need for more invasive treatments or specialist referrals.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity of the visit is clearly documented, particularly if topical treatments or referrals to specialists are involved. Common denials may arise from insufficient documentation of the condition's chronicity or lack of evidence for the treatment provided. Best practices include maintaining thorough records of patient interactions, treatment responses, and follow-up care to support claims.

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 H01.132?

H01.132 specifically covers eczematous dermatitis localized to the right lower eyelid, which may arise from contact dermatitis, atopic dermatitis, or other irritant-related skin conditions.

When should H01.132 be used instead of related codes?

H01.132 should be used when the dermatitis is specifically localized to the right lower eyelid, distinguishing it from other eyelid dermatitis codes that may involve different locations or types.

What documentation supports H01.132?

Documentation should include a detailed patient history, clinical findings of dermatitis on the right lower eyelid, and any relevant allergy testing results to substantiate the diagnosis.