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Home/Diagnosis/ICD-10 Coding for Swollen Eyelid

ICD-10 Coding for Swollen Eyelid

H01.9
H00.0-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for swollen eyelid includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Eyelid Edema
Puffy Eyelid
Eyelid Swelling
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Key Information: ICD-10 Coding for Swollen Eyelid

Essential facts and insights about ICD-10 Coding for Swollen Eyelid

Use ICD-10 code H01.9 for unspecified inflammation of eyelid, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified inflammation of eyelid

Billable Code
H01.9
Billable

Diagnostic Criteria

clinical:
  • • Swelling without specific cause identified
documentation:
  • • Absence of specific descriptors like hordeolum or blepharitis

Applicable To

  • • Swollen eyelids, unspecified cause

Important Notes

  • • Ensure documentation specifies if the cause is unknown to justify using this code.

Hordeolum and chalazion

Non-Billable
H00.0-
Non-Billable

Diagnostic Criteria

clinical:
  • • Tender pustule at lid margin
  • • Palpation findings

Applicable To

  • • Stye

Important Notes

  • • Ensure laterality is documented to use appropriate modifiers.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95-B97

Bacterial/viral agents

Use when a bacterial or viral cause is confirmed via culture.

Frequently Asked Questions

What is the ICD-10 code for a swollen eyelid?

The ICD-10 code for an unspecified swollen eyelid is H01.9. Use specific codes like H00.0- for hordeolum if the cause is identified.

How do you code a stye in ICD-10?

A stye, or hordeolum, is coded as H00.0- in ICD-10, with laterality specified using E1-E4 modifiers.

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