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H00.036

Billable

Abscess of eyelid left eye, unspecified eyelid

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abscess (collection of pus) on the left eyelid that has not been specified as affecting the upper or lower lid. This is a localized infection that causes swelling, redness, and tenderness on the eyelid.

Coding Tips

  • •Verify documentation specifies the left eye; if the eyelid location (upper vs. lower) is documented, use the more specific code (H00.031 for upper or H00.032 for lower)
  • •Confirm this is an abscess rather than other eyelid conditions like chalazion or hordeolum, as these have different codes

Code Hierarchy

└H00Hordeolum and chalazion└H00.0Hordeolum (externum) (internum) of eyelid└H00.03Abscess of eyelid└H00.036Abscess of eyelid left eye, unspecified eyelid
└H00.036Abscess of eyelid left eye, unspecified eyelid

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