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ICD-10 Guide
ICD-10 CodesH01.142

H01.142

Billable

Xeroderma of right lower eyelid

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

Code Description

ICD-10 H01.142 is a billable code used to indicate a diagnosis of xeroderma of right lower eyelid.

Key Diagnostic Point:

Xeroderma of the right lower eyelid refers to a condition characterized by abnormal dryness of the skin on the lower eyelid, which can lead to irritation, redness, and potential complications such as dermatitis or secondary infections. The eyelid anatomy includes skin, muscle, and connective tissue, which are essential for protecting the eye and facilitating tear distribution. Xeroderma may result from various factors, including environmental exposure, systemic diseases, or localized skin conditions. Clinically, patients may present with symptoms such as itching, scaling, or cracking of the eyelid skin. Disease progression can lead to chronic irritation and may necessitate further evaluation for underlying causes, such as autoimmune disorders or seborrheic dermatitis. Diagnostic considerations include a thorough patient history, physical examination, and possibly skin biopsy to rule out other dermatological conditions. Treatment typically involves moisturizing agents, topical corticosteroids, or addressing any underlying conditions contributing to the xeroderma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other eyelid conditions such as eczema or psoriasis.
  • Treatment complexity: May involve multiple therapeutic approaches depending on the underlying cause.
  • Documentation requirements: Detailed clinical notes are necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to ensure accurate representation of the condition.

Audit Risk Factors

  • Common coding errors: Misidentification of the eyelid affected or confusion with other skin conditions.
  • Documentation gaps: Insufficient detail in clinical notes regarding symptoms or treatment.
  • Billing challenges: Potential denials if the diagnosis is not well-supported by 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Xeroderma of the eyelid can significantly affect a patient's quality of life, leading to discomfort and potential complications. Understanding the epidemiology of skin conditions affecting the eyelids is crucial for population health management. Effective treatment and management can reduce healthcare utilization patterns, improve patient outcomes, and contribute to quality measures in ophthalmic care.

ICD-9 vs ICD-10

Xeroderma of the eyelid can significantly affect a patient's quality of life, leading to discomfort and potential complications. Understanding the epidemiology of skin conditions affecting the eyelids is crucial for population health management. Effective treatment and management can reduce healthcare utilization patterns, improve patient outcomes, and contribute to quality measures in ophthalmic care.

Reimbursement & Billing Impact

Reimbursement may vary based on the payer, and common denials can occur if the diagnosis is not adequately supported. It is essential to use appropriate CPT codes for any procedures performed, and to ensure that the medical necessity is clearly documented to avoid billing challenges.

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 H01.142?

H01.142 specifically covers xeroderma localized to the right lower eyelid. It may be associated with conditions such as atopic dermatitis, contact dermatitis, or environmental factors leading to skin dryness.

When should H01.142 be used instead of related codes?

H01.142 should be used when the diagnosis specifically involves xeroderma of the right lower eyelid. If the condition affects other eyelids or areas, or if it is a different type of dermatitis, other codes should be considered.

What documentation supports H01.142?

Documentation should include a detailed clinical assessment of the eyelid, patient history regarding symptoms, any treatments attempted, and the response to those treatments. Photographic evidence may also be beneficial.