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ICD-10 Guide
ICD-10 CodesH01.149

H01.149

Billable

Xeroderma of unspecified eye, unspecified eyelid

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

Code Description

ICD-10 H01.149 is a billable code used to indicate a diagnosis of xeroderma of unspecified eye, unspecified eyelid.

Key Diagnostic Point:

Xeroderma of the unspecified eye and unspecified eyelid refers to a condition characterized by dryness and scaling of the skin around the eyelids and potentially affecting the conjunctiva of the eye. This condition can result from various factors including environmental influences, systemic diseases, or localized skin disorders. The eyelids play a crucial role in protecting the eye and maintaining moisture, and their dysfunction can lead to discomfort, irritation, and increased risk of infections. The lacrimal system, responsible for tear production and drainage, may also be involved, as inadequate lubrication can exacerbate symptoms. Clinically, patients may present with symptoms such as redness, itching, and a sensation of grittiness in the eyes. Diagnosis typically involves a thorough history and physical examination, with attention to any underlying conditions that may contribute to xeroderma. Treatment may include the use of artificial tears, ointments, or addressing any underlying systemic issues. Monitoring disease progression is essential, as chronic dryness can lead to complications such as keratitis or conjunctivitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other eyelid and ocular surface disorders.
  • Treatment complexity: Moderate, as treatment may involve multiple modalities depending on the underlying cause.
  • Documentation requirements: Requires detailed documentation of symptoms, duration, and any associated conditions.
  • Coding specificity: Moderate, as it is specific to xeroderma but does not specify the cause or severity.

Audit Risk Factors

  • Common coding errors: Misapplication of related codes or failure to specify the eyelid involved.
  • Documentation gaps: Incomplete patient history or lack of detail regarding symptoms.
  • Billing challenges: Potential denials if the documentation does not clearly support the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Xeroderma of the eyelids can significantly affect a patient's quality of life, leading to discomfort and potential complications if left untreated. The condition may be more prevalent in populations with certain systemic diseases or environmental exposures, highlighting the need for awareness among healthcare providers. Effective management can improve patient outcomes and reduce healthcare utilization by preventing complications such as infections or chronic inflammation.

ICD-9 vs ICD-10

Xeroderma of the eyelids can significantly affect a patient's quality of life, leading to discomfort and potential complications if left untreated. The condition may be more prevalent in populations with certain systemic diseases or environmental exposures, highlighting the need for awareness among healthcare providers. Effective management can improve patient outcomes and reduce healthcare utilization by preventing complications such as infections or chronic inflammation.

Reimbursement & Billing Impact

reimbursement.

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 H01.149?

H01.149 covers xeroderma affecting the eyelids and surrounding ocular areas, which may include conditions like blepharitis, eczema, or other dermatitis that leads to dryness and scaling. It is essential to differentiate it from other eyelid disorders that may have similar presentations.

When should H01.149 be used instead of related codes?

H01.149 should be used when the xeroderma is not localized to a specific eyelid or when the cause of the xeroderma is unspecified. If the condition is localized or has a known etiology, more specific codes should be selected.

What documentation supports H01.149?

Documentation should include a detailed patient history, clinical findings of dryness or scaling, any associated symptoms, and a description of the treatment plan. Evidence of attempts to rule out other conditions should also be included.