ICD-10 Coding for Eye Dermatitis(H01.11-, H01.13, B02.39)
Complete ICD-10-CM coding and documentation guide for Eye Dermatitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eye Dermatitis
H01.1Primary Range
Eyelid dermatitis
This range covers various types of dermatitis affecting the eyelids, including allergic and eczematous forms.
Herpes zoster with other ocular complications
Relevant for cases where herpes zoster causes dermatitis of the eyelid.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H01.11- | Allergic dermatitis of eyelid | Use for confirmed allergic etiology affecting the eyelid, such as cosmetics or pollen. |
|
| H01.13 | Eczematous dermatitis of eyelid | Use for chronic or recurrent eczema affecting the eyelid. |
|
| B02.39 | Herpes zoster dermatitis | Use when herpes zoster causes dermatitis of the eyelid. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for eye dermatitis
Essential facts and insights about Eye Dermatitis
Primary ICD-10-CM Codes for eye dermatitis
Decision Criteria
clinical Criteria
- Presence of itching, erythema, and positive patch testing.
documentation Criteria
- Detailed history of allergen exposure and response to treatment.
Applicable To
- Allergic contact dermatitis of eyelid
Excludes
- Blepharoconjunctivitis (H10.5-)
Clinical Validation Requirements
- Positive patch test for allergen
- Resolution with allergen avoidance
Code-Specific Risks
- Risk of using unspecified codes if laterality is not documented.
Coding Notes
- Ensure laterality is specified to avoid unspecified codes.
H01.13 - Eczematous dermatitis of eyelid
Use for chronic or recurrent eczema affecting the eyelid.
Applicable To
- Chronic/recurrent eczema of eyelid
Excludes
- Seborrheic dermatitis (L21.0)
Clinical Validation Requirements
- Chronic course (>6 weeks)
- Family/personal history of atopy
Coding Notes
Ensure chronicity and atopic history are documented.
B02.39 - Herpes zoster dermatitis
Use when herpes zoster causes dermatitis of the eyelid.
Applicable To
- Herpes zoster affecting eyelid
Excludes
- Herpes simplex dermatitis (B00.1)
Clinical Validation Requirements
- PCR confirmation of VZV
- Dermatomal rash pattern
Coding Notes
Ensure viral etiology is confirmed.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Blepharoconjunctivitis
H10.5-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eye Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H01.11-.
Impact
Clinical: Leads to inadequate treatment plans., Regulatory: Fails to meet documentation standards., Financial: May result in claim denials or reduced reimbursement.
Mitigation Strategy
Always specify the type of dermatitis and any known causes., Include detailed patient history and exam findings.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate data collection for eyelid dermatitis cases.
Mitigation Strategy
Use H01.11- for dermatitis specifically affecting the eyelids.
Impact
Reimbursement: Unspecified codes may result in reduced reimbursement., Compliance: Failure to meet documentation standards., Data Quality: Loss of specificity in clinical data.
Mitigation Strategy
Document and code the specific eyelid affected.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation is detailed and specific, supporting the use of specific codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Eye Dermatitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eye Dermatitis
Use these documentation templates to ensure complete and accurate documentation for Eye Dermatitis. These templates include all required elements for proper coding and billing.
Allergic Contact Dermatitis
Specialty: DermatologyRequired Elements
- Patient history of allergen exposure
- Physical exam findings
- Patch test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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