ICD-10 Coding for Periocular Eczematous Dermatitis(H01.131, H01.139)
Complete ICD-10-CM coding and documentation guide for Periocular Eczematous Dermatitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Periocular Eczematous Dermatitis
H01.13Primary Range
Eczematous dermatitis of eyelid
This range includes codes specific to the laterality and location of eczematous dermatitis affecting the eyelids.
Dermatitis and eczema
This range includes codes for underlying conditions like atopic dermatitis that may be related to periocular eczematous dermatitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H01.131 | Eczematous dermatitis of right upper eyelid | Use when the dermatitis is specifically located on the right upper eyelid. |
|
| H01.139 | Eczematous dermatitis of unspecified eye and eyelid | Use when the documentation lacks specificity in laterality and location. |
|
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 periocular eczematous dermatitis
Essential facts and insights about Periocular Eczematous Dermatitis
Primary ICD-10-CM Codes for periocular eczematous dermatitis
Decision Criteria
clinical Criteria
- Presence of dermatitis on the right upper eyelid
Applicable To
- Right upper eyelid dermatitis
Excludes
- Blepharitis (H10.5-)
Clinical Validation Requirements
- Documentation of erythematous plaques on the right upper eyelid
Code-Specific Risks
- Risk of using unspecified codes if laterality is not documented.
Coding Notes
- Ensure laterality and specific eyelid location are documented to avoid unspecified codes.
H01.139 - Eczematous dermatitis of unspecified eye and eyelid
Use when the documentation lacks specificity in laterality and location.
Applicable To
- Unspecified eyelid dermatitis
Excludes
- Blepharitis (H10.5-)
Clinical Validation Requirements
- General documentation of eyelid dermatitis without specific location
Coding Notes
Query for more specific documentation if possible to avoid using this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atopic dermatitis, unspecified
L20.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Periocular Eczematous Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H01.131.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Train staff on importance of detailed documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies laterality and exact eyelid location.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation is specific and queries are made for clarification.
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 Periocular Eczematous Dermatitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Periocular Eczematous Dermatitis
Use these documentation templates to ensure complete and accurate documentation for Periocular Eczematous Dermatitis. These templates include all required elements for proper coding and billing.
Eczematous Dermatitis of Eyelid
Specialty: DermatologyRequired Elements
- Location and laterality
- Morphology of lesions
- Symptoms and severity
- Potential triggers
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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