2020 Updated Blepharitis ICD 10 Codes - OU, OD, OS, and More
Blepharitis is an inflammation of the eyelids, often characterized by redness and irritation of the eyelid margins, crustiness of the eyelashes, and an overall feeling of discomfort for the patient. There are different forms of blepharitis, often affecting the anterior portion of the eyelid near the eyelashes as well as the meibomian glands near the back surface of the eyelids. Both eyes are usually affected.
Although treatment may be similar for each, it’s important to know about the different forms of blepharitis. Ulcerative blepharitis is often characterized by the development of small pustules around the eyelash follicles (folliculitis) which is often caused by staph bacteria. Squamous blepharitis (also called seborrheic blepharitis) occurs when the patient has greasy, oily scales on their eyelid margins. The eyelids may also be dry and red. Some people may have both ulcerative and squamous blepharitis, and both of these conditions have the potential to affect the anterior and posterior portions of the eyelids.
With all of the changes in today’s practice atmosphere, you may find yourself searching for “ICD 10 blepharitis” in order to properly code and bill for the specific diagnosis and care given to a patient. ICD 10 is the most recent medical classification list from the World Health Organization. It is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems, and it was implemented on October 1, 2015.
Since then, small changes have been made to some of the codes within the ICD 10, so it’s always important to ensure you’re coding your charts properly. In this article, we discuss all of the ways in which blepharitis can be coded. For the information you see below, we referenced icd10data.comas well as the American Academy of Ophthalmologywebsite.
In general, H01.009 is a billable ICD 10 code for blepharitis but it’s always a good idea to be more specific if you can be. To code for blepharitis of both eyes, you’ll want to use at least two separate codes. There is no bilateral blepharitis ICD 10 code.
Left H01.006 - These codes may be helpful if you do not wish to specify the cause of blepharitis. Use these to code for angular blepharitis or allergic blepharitis of the left eyelids.
- Lower H01.005
- Upper H01.004
- Upper and lower H01.00B - This code is new, as of 2019
Right H01.003 - These codes may be helpful if you do not wish to specify the cause of blepharitis. Use these to code for angular blepharitis or allergic blepharitis of the right eyelids.
- Lower H01.002
- Upper H01.001
- Upper and lower H01.00A - This code is new, as of 2019
Squamous H01.029 - This is the squamous blepharitis ICD 10 code, to be used to specify this form of blepharitis (as well as seborrheic blepharitis), often characterized by scaly, oily lid margins. Codes to specify both right eye, left eye, upper, and lower are below.
- Left H01.026
- Lower H01.025
- Upper H01.024
- Upper and lower H01.02B - This code is new, as of 2019
- Right H01.023
- Lower H01.022
- Upper H01.021
- Upper and lower H01.02A - This code is new, as of 2019
Ulcerative H01.019 - Usually caused by a bacterial infection, such as staph bacteria, the lash follicles and meibomian glands are also involved. Use the following codes for ulcerative blepharitis of the right, left, upper, and lower eyelids.
- Left H01.016
- Lower H01.015
- Upper H01.014
- Upper and lower H01.01B - This code is new, as of 2019
- Right H01.013
- Lower H01.012
- Upper H01.011
- Upper and lower H01.01A - This code is new, as of 2019
Treatment for Blepharitis
While antibiotics and steroids are often prescribed for patients with blepharitis, eyelid hygiene is our number one recommendation for preventing blepharitis in the first place. It is also a great treatment for ensuring that the blepharitis is kept under control. For our patients, hypochlorous acid is recommended because it is a natural substance, produced by our bodies to fight inflammation and infection. It contains no harsh chemicals which could exacerbate the condition, and it’s simple for patients to use.
We recommend Heyedrate Lid and Lash Cleanser to our patients, and we instruct them to use it twice per day (morning and evening). After removing any makeup or debris and washing the face, spray the solution onto closed eyelids and rub it into the eyelashes with clean fingertips. Alternatively, a cotton ball or round may be used for application. After that, just let it dry (there’s no need to rinse).