2025 ICD-10-CM code H00
Hordeolum and chalazion.
Medical necessity for treatment is established by the presence of signs and symptoms such as pain, impaired vision, or cosmetic concerns.For hordeolum, the presence of infection supports medical necessity.For chalazion, persistent or enlarging lesions justify intervention.
Diagnosis and treatment of hordeolum and chalazion are typically managed by ophthalmologists or optometrists.Treatment may include warm compresses, lid scrubs, antibiotic ointments or drops for hordeolum, and sometimes incision and drainage for persistent cases.Chalazia may resolve spontaneously, but may require corticosteroid injection or incision and curettage if they persist.
In simple words: This code refers to two types of eyelid bumps: a stye (hordeolum), which is like a pimple caused by an infection, and a chalazion, a blocked oil gland in the eyelid.A stye is usually painful and red, while a chalazion is often not painful.
This code encompasses both hordeolum (stye) and chalazion, two common eyelid conditions. A hordeolum is an acute bacterial infection of the glands of the eyelid, often presenting as a painful, red lump near the edge of the eyelid. A chalazion, on the other hand, is a non-infectious blockage of the meibomian glands, typically appearing as a painless swelling further back on the eyelid.
Example 1: A patient presents with a painful, red bump on the edge of their lower eyelid consistent with a hordeolum.Code H00 would be used., A patient has a painless lump on their upper eyelid that has been present for several weeks, diagnosed as a chalazion. Code H00 is applicable., A patient has both a hordeolum and a chalazion on the same eyelid.H00 would still be used to encompass both conditions.
Documentation should specify whether the condition is a hordeolum or chalazion, the location (upper or lower eyelid, left or right eye), and any associated symptoms like pain, swelling, or discharge.If an infection is present, this should be noted.
** H00 includes both hordeolum and chalazion regardless of laterality (one or both eyes affected).
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (if surgery is required)