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ICD-10 Guide
ICD-10 CodesH01.139

H01.139

Billable

Eczematous dermatitis of unspecified eye, unspecified eyelid

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

Code Description

ICD-10 H01.139 is a billable code used to indicate a diagnosis of eczematous dermatitis of unspecified eye, unspecified eyelid.

Key Diagnostic Point:

Eczematous dermatitis of the eyelid, specifically coded as H01.139, refers to an inflammatory skin condition affecting the eyelid area, characterized by redness, itching, and scaling. The eyelids are composed of delicate skin that is particularly susceptible to irritants and allergens, leading to conditions such as contact dermatitis or atopic dermatitis. The condition may present with symptoms such as swelling, crusting, and discomfort, which can significantly impact a patient's quality of life. The lacrimal system, which includes the tear glands and ducts, may also be affected indirectly due to inflammation and irritation. Disease progression can vary, with acute episodes potentially leading to chronic dermatitis if not managed properly. Diagnostic considerations include a thorough patient history to identify potential allergens or irritants, physical examination of the eyelids, and, if necessary, patch testing to confirm allergic reactions. It is essential to differentiate this condition from other eyelid disorders such as blepharitis or seborrheic dermatitis to ensure appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the affected eyelid or failing to document the specific type of dermatitis.
  • Documentation gaps may arise if the clinician does not provide sufficient detail regarding the patient's history or the nature of the dermatitis.
  • Billing challenges can occur if the condition is not clearly documented, leading to potential denials from payers.

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 affect patients' quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it is prevalent in both adults and children, often exacerbated by environmental factors. Quality measures related to this condition may focus on timely diagnosis and effective management strategies to reduce symptoms and improve patient outcomes. Healthcare utilization patterns indicate that patients with chronic eyelid dermatitis may require frequent visits to specialists, impacting overall healthcare costs.

ICD-9 vs ICD-10

Eczematous dermatitis of the eyelid can significantly affect patients' quality of life, leading to discomfort and potential complications such as secondary infections. Understanding the epidemiology of this condition is essential, as it is prevalent in both adults and children, often exacerbated by environmental factors. Quality measures related to this condition may focus on timely diagnosis and effective management strategies to reduce symptoms and improve patient outcomes. Healthcare utilization patterns indicate that patients with chronic eyelid dermatitis may require frequent visits to specialists, impacting overall healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for dermatological conditions and ensuring that the visit is appropriately coded based on the complexity of the examination and management. Common denials may arise from insufficient documentation or failure to specify the affected eyelid. Best practices include maintaining thorough clinical notes and ensuring that all relevant details are captured in the patient's medical record to support the diagnosis and treatment provided.

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 H01.139?

H01.139 covers unspecified eczematous dermatitis affecting the eyelid, which may include allergic contact dermatitis, irritant contact dermatitis, and atopic dermatitis. It is important to note that the specific type of dermatitis should be identified when possible for accurate coding.

When should H01.139 be used instead of related codes?

H01.139 should be used when the specific eyelid affected is not documented or when the type of eczematous dermatitis is unspecified. If the condition is localized to a specific eyelid or if the type of dermatitis is known, related codes such as H01.130 or H01.131 should be used.

What documentation supports H01.139?

Documentation should include a detailed patient history, including any known allergens or irritants, a thorough physical examination of the eyelids, and any diagnostic tests performed, such as patch testing. Clear notes on the symptoms and their duration will also support the use of this code.