2025 ICD-10-CM code H01.003
Unspecified blepharitis of the right eye, unspecified eyelid.
Medical necessity for treatment is established by the diagnosis of blepharitis.The medical record should support the diagnosis with clinical findings such as redness, swelling, irritation, or other symptoms related to eyelid inflammation.
The provider is responsible for documenting the laterality, specific eyelid involved (if known), and the clinical type of blepharitis.
In simple words: This code refers to inflammation of the eyelid of the right eye.The doctor hasn't specified whether the upper or lower eyelid is affected, or what kind of inflammation it is.
Inflammation of the eyelid(s) of the right eye, where the specific eyelid (upper or lower) is not documented, and the type of blepharitis (e.g., ulcerative, squamous) is also unspecified.
Example 1: A patient presents with redness, itching, and swelling of the right eyelid. The physician diagnoses blepharitis but does not specify which eyelid or the specific type of blepharitis., A patient with a history of seborrhea complains of a gritty feeling in their right eye, with some redness and swelling of the eyelid. The physician diagnoses blepharitis but does not determine whether it is ulcerative or squamous or which eyelid is primarily affected., A patient develops inflammation of the right eyelid following exposure to an allergen.Without further specification of the type or location of the blepharitis, H01.003 is used.
Documentation should include the affected eye (right), the presence of inflammation in the eyelid, and ideally, the specific eyelid and type of blepharitis if determined.
- Specialties:Ophthalmology, Optometry, General Practice
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital