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ICD-10 Guide
ICD-10 CodesH01.133

H01.133

Billable

Eczematous dermatitis of right eye, unspecified eyelid

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

Code Description

ICD-10 H01.133 is a billable code used to indicate a diagnosis of eczematous dermatitis of right eye, unspecified eyelid.

Key Diagnostic Point:

Eczematous dermatitis of the right eye, specifically affecting the unspecified eyelid, presents as an inflammatory skin condition characterized by redness, itching, and swelling. The eyelid anatomy includes the skin, muscles, and connective tissues that protect the eye and facilitate blinking. In cases of eczematous dermatitis, the skin barrier is compromised, leading to increased susceptibility to irritants and allergens. The condition may progress from acute to chronic stages, with potential complications such as secondary infections or scarring. Diagnosis typically involves a thorough clinical examination, patient history, and sometimes patch testing to identify specific allergens. Differential diagnoses may include contact dermatitis, seborrheic dermatitis, and atopic dermatitis. Treatment often includes topical corticosteroids, emollients, and avoidance of identified triggers. Understanding the periocular anatomy is crucial for effective management and to prevent complications that may arise from untreated dermatitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other dermatitis types and conditions.
  • Treatment complexity: Involves multiple treatment modalities and patient education.
  • Documentation requirements: Detailed documentation of symptoms, treatment response, and follow-up is necessary.
  • Coding specificity: Requires precise coding to reflect the affected eyelid and condition.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected eyelid or condition.
  • Documentation gaps: Incomplete patient history or treatment records.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

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

Eczematous dermatitis of the eyelid can significantly impact a patient's quality of life, leading to discomfort and potential vision impairment if left untreated. It is a common condition that affects a substantial portion of the population, particularly those with a history of allergies or atopic conditions. Understanding the epidemiology of this condition can help healthcare providers implement effective management strategies and improve patient outcomes.

ICD-9 vs ICD-10

Eczematous dermatitis of the eyelid can significantly impact a patient's quality of life, leading to discomfort and potential vision impairment if left untreated. It is a common condition that affects a substantial portion of the population, particularly those with a history of allergies or atopic conditions. Understanding the epidemiology of this condition can help healthcare providers implement effective management strategies and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include verifying patient eligibility and ensuring that the services provided are medically necessary. Common denials may arise from insufficient documentation or coding errors, so it is crucial to maintain accurate and complete records. Best practices include using specific codes that reflect the condition and ensuring that all relevant clinical information is included in the documentation to support the claim.

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 H01.133?

H01.133 specifically covers eczematous dermatitis affecting the right eyelid. This includes allergic contact dermatitis, irritant contact dermatitis, and atopic dermatitis localized to the eyelid area.

When should H01.133 be used instead of related codes?

H01.133 should be used when the condition specifically affects the right eyelid and is diagnosed as eczematous dermatitis. It is important to differentiate it from dermatitis affecting other eyelids or other types of dermatitis.

What documentation supports H01.133?

Documentation should include a detailed history of symptoms, physical examination findings, treatment plans, and any diagnostic tests performed, such as allergy testing, to support the diagnosis of eczematous dermatitis.