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ICD-10 Guide
ICD-10 CodesH01.146

H01.146

Billable

Xeroderma of left eye, unspecified eyelid

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

Code Description

ICD-10 H01.146 is a billable code used to indicate a diagnosis of xeroderma of left eye, unspecified eyelid.

Key Diagnostic Point:

Xeroderma of the left eye, unspecified eyelid, refers to a condition characterized by abnormal dryness of the skin on the eyelid, which can lead to irritation, inflammation, and discomfort. The eyelids play a crucial role in protecting the eye and maintaining moisture through blinking and tear distribution. Xeroderma can result from various factors, including environmental conditions, systemic diseases, or localized skin disorders. Clinically, patients may present with symptoms such as redness, scaling, and a sensation of tightness or burning in the affected eyelid. Disease progression can lead to complications such as blepharitis or conjunctivitis if left untreated. Diagnostic considerations include a thorough patient history, examination of the eyelid and surrounding periocular structures, and potentially, allergy testing or skin biopsies to rule out other dermatological conditions. Treatment typically involves the use of moisturizers, topical corticosteroids, or other medications to alleviate symptoms and restore skin integrity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 eyelids can significantly impact patient quality of life, leading to discomfort and potential complications if untreated. It is essential for healthcare providers to recognize and manage this condition effectively to prevent further ocular issues. Understanding the epidemiology of xeroderma, including its prevalence in different populations and its association with environmental factors, can help in developing targeted prevention and treatment strategies.

ICD-9 vs ICD-10

Xeroderma of the eyelids can significantly impact patient quality of life, leading to discomfort and potential complications if untreated. It is essential for healthcare providers to recognize and manage this condition effectively to prevent further ocular issues. Understanding the epidemiology of xeroderma, including its prevalence in different populations and its association with environmental factors, can help in developing targeted prevention and treatment strategies.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the documentation and the clarity of the medical necessity for treatment. Common denials may arise from insufficient documentation or failure to demonstrate the need for prescribed treatments. Best practices include thorough patient records and clear communication of the diagnosis and treatment rationale.

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 H01.146?

H01.146 covers xeroderma specifically affecting the left eyelid, which may include conditions such as dry skin due to environmental factors, allergic reactions, or underlying dermatological diseases. It is important to differentiate it from other eyelid disorders like eczema or psoriasis.

When should H01.146 be used instead of related codes?

H01.146 should be used when the clinical presentation specifically indicates xeroderma localized to the left eyelid, without involvement of other eyelids or ocular structures. It is essential to document the specific symptoms and location to justify the use of this code.

What documentation supports H01.146?

Documentation should include a detailed patient history, clinical examination findings, and any relevant diagnostic tests. Notes should clearly describe the symptoms, duration, and any treatments attempted, as well as the specific location of the xeroderma.