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2025 ICD-10-CM code H01.00

Unspecified blepharitis. This is an inflammation of the eyelids causing irritation, redness, and swelling, without specification of whether it is ulcerative or squamous.

Do not use H01.00 if the physician specifies the type of blepharitis (e.g., ulcerative or squamous).Refer to the ICD-10-CM guidelines for proper coding of blepharitis and related conditions. Use an external cause code following the code for the eye condition if applicable.

Medical necessity for treatment of blepharitis is established by the presence of signs and symptoms that interfere with the patient's comfort or vision, or pose a risk of complications.

Diagnosis and treatment of blepharitis involves assessing the patient's medical history, symptoms (pain, itching, redness, oily eyelids, swelling), and conducting an eye exam, possibly including a slit-lamp examination. Treatment may include eyelid hygiene, warm compresses, lubricating eye drops, anti-inflammatory or steroid eye drops, and topical or systemic antibiotics/antivirals if needed.

In simple words: Blepharitis means your eyelids are inflamed, causing redness, irritation, and swelling.This code is used when the doctor doesn't specify what kind of blepharitis it is.

Unspecified blepharitis refers to inflammation of the eyelids that causes irritation, redness, and swelling.The physician does not specify whether the condition is ulcerative blepharitis (caused by bacteria or viruses) or squamous blepharitis (a dermatological condition). Blepharitis affects the base of the eyelashes, the follicles, and the meibomian glands.

Example 1: A patient presents with red, swollen eyelids, and a gritty feeling in their eyes. The physician diagnoses blepharitis but does not specify the type, so H01.00 is used., A patient with a history of seborrhea develops inflamed eyelids.The doctor diagnoses blepharitis without specifying ulcerative or squamous, therefore, H01.00 is the appropriate code., A patient experiences itchy, red, and swollen eyelids after using a new cosmetic product. The physician diagnoses blepharitis without further specifying the type, thus H01.00 is used.

Documentation should include the signs and symptoms of blepharitis, such as redness, swelling, irritation, and any associated symptoms like itching, burning, or a foreign body sensation.Although this code is for unspecified blepharitis, any clinical findings that point toward a specific type should be noted, even if a definitive diagnosis of that type is not yet made.

** This code excludes blepharoconjunctivitis (H10.5-) and several other condition groups as listed in the ICD-10-CM guidelines. H01.00 is a parent code to H01.01 - H01.03, H01.10 - H01.13, and H01.9.

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