ICD-10 Coding for Eyelid Cyst(H02.821, H02.822)
Complete ICD-10-CM coding and documentation guide for Eyelid Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eyelid Cyst
H02.82xPrimary Range
Cysts of eyelid
This range covers cysts located on the eyelid, specifying laterality and location.
Congenital malformations of eyelid
Used for congenital cysts of the eyelid, differentiating from acquired cysts.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H02.821 | Cysts of right upper eyelid | Use when a cyst is located on the right upper eyelid, confirmed by clinical examination. |
|
| H02.822 | Cysts of left upper eyelid | Use when a cyst is located on the left upper eyelid, confirmed by clinical examination. |
|
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 eyelid cyst
Essential facts and insights about Eyelid Cyst
Primary ICD-10-CM Codes for eyelid cyst
Decision Criteria
clinical Criteria
- Presence of a cystic lesion on the right upper eyelid
documentation Criteria
- Histopathological confirmation of cyst type
Clinical Validation Requirements
- Documentation of cyst location and laterality
- Histopathological confirmation of cyst type
Code-Specific Risks
- Incorrect laterality documentation
- Failure to specify cyst type
Coding Notes
- Ensure laterality and specific eyelid location are documented.
H02.822 - Cysts of left upper eyelid
Use when a cyst is located on the left upper eyelid, confirmed by clinical examination.
Applicable To
- Epidermal cyst
- Hidrocystoma
Excludes
- Congenital malformations (Q10.0-Q10.3)
Clinical Validation Requirements
- Documentation of cyst location and laterality
- Histopathological confirmation of cyst type
Coding Notes
Ensure laterality and specific eyelid location are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Aftercare following surgery
Z48.81Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chalazion
H00.1xDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eyelid Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H02.821.
Impact
Clinical: Leads to ambiguity in patient records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always document the specific eyelid and side affected.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Use 11440-11446 based on size for skin-only excisions.
Impact
Using 67840 for procedures not involving the tarsus.
Mitigation Strategy
Ensure documentation specifies depth and structures involved.
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 Eyelid Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eyelid Cyst
Use these documentation templates to ensure complete and accurate documentation for Eyelid Cyst. These templates include all required elements for proper coding and billing.
Excision of eyelid cyst
Specialty: OphthalmologyRequired Elements
- Location: [Right/Left] [Upper/Lower] eyelid
- Size: ___ mm
- Depth: [Skin only / Lid margin / Tarsus / Full-thickness]
- Symptoms: [Pain, redness, vision obstruction]
- Procedure: [I&D / Excision with/without tarsal involvement]
- Pathology: [Confirmed cyst type]
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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