2025 ICD-10-CM code H01.9
(Active) Effective Date: N/A Diseases of the eye and adnexa - Disorders of eyelid, lacrimal system and orbit 7 Feed
Unspecified inflammation of the eyelid. Inflammation of eyelid NOS.
Medical necessity for the evaluation and treatment of eyelid inflammation is established by the presence of signs and symptoms that impact the patient's comfort or vision.
Unspecified eyelid inflammation can be caused by allergies to cosmetics or medications, other irritants, mites or lice, and eyelid gland dysfunction. Patients may experience pain, itching, redness, oily eyelids and swelling, watery eyes, a gritty feeling, and burning. Diagnosis is based on medical history, symptoms, and eye/eyelash examination. Treatment may involve washing eyelashes, warm compresses, and lubricating, anti-inflammatory, or steroid eye drops.
In simple words: This code refers to general inflammation of the eyelid when the doctor hasn't specified the exact cause. It's different from more specific conditions like styes or chalazions.
Unspecified inflammation of the eyelid refers to inflammatory conditions, other than hordeolum and chalazion, that affect the follicles of the eyelashes and the eyelid glands and cause irritation, redness, and swelling.The provider does not document the cause of the eyelid inflammation.
Example 1: A patient presents with red, swollen eyelids and complains of itching and a gritty sensation. The physician diagnoses eyelid inflammation but does not determine a specific cause, so H01.9 is used., A patient with a history of contact lens use develops eyelid inflammation.If the physician determines that it is not blepharitis or another specific condition and doesn't state an etiology for the inflammation, H01.9 is applied. , A child is brought in with swollen, irritated eyelids, and the doctor suspects an allergic reaction but testing is not done to confirm a specific allergen. In the absence of a definitive diagnosis, H01.9 is used.
Documentation should include the signs and symptoms of inflammation (redness, swelling, pain, itching) and the location on the eyelid.If any suspected causes are considered or ruled out, that should also be documented.
- Specialties:Ophthalmology, Optometry, Family Medicine, Pediatrics
- Place of Service:Office, Outpatient Hospital, Emergency Room - Hospital