H01.121
BillableDiscoid lupus erythematosus of right upper eyelid
HCC Category Mapping
RxHCCHCC 317 — Lupus, Cutaneous
0.000What This Code Means
A chronic autoimmune skin condition (discoid lupus erythematosus) affecting the upper eyelid of the right eye.
Coding Tips
- •Confirm diagnosis of discoid lupus erythematosus (DLE) rather than systemic lupus erythematosus (SLE)
- •Document right eye and upper eyelid involvement to support this specific code
Clinical Significance
Discoid lupus erythematosus of the right upper eyelid represents a chronic autoimmune skin condition affecting the eyelid, causing scarring, pigmentary changes, and potential eyelid dysfunction. Eyelid involvement in discoid lupus is clinically significant because it can cause cicatricial ectropion, entropion, madarosis (eyelash loss), and corneal exposure. Accurate documentation of laterality and location is essential for appropriate coding and ophthalmic management.
Documentation Requirements
- ✓Examination findings specific to the right upper eyelid (erythematous plaques, scarring, dyspigmentation)
- ✓Documentation confirming discoid lupus diagnosis (biopsy results or dermatological consultation)
- ✓Assessment of eyelid function and any secondary complications (cicatricial changes, exposure keratopathy)
- ✓Evaluation for systemic lupus erythematosus features
- ✓Treatment plan for the eyelid involvement (topical therapy, intralesional injection, surgical intervention)
Commonly Confused Codes
H01.122 — Discoid lupus erythematosus of right lower eyelid: different eyelid location, same sideH01.124 — Discoid lupus erythematosus of left upper eyelid: same eyelid but contralateral sideL93.0 — Discoid lupus erythematosus (skin): use for non-eyelid cutaneous discoid lupusH01.019 — Ulcerative blepharitis of unspecified eye: different etiology, infectious rather than autoimmune
Code Hierarchy
└H01Other inflammation of eyelid└H01.1Noninfectious dermatoses of eyelid└H01.12Discoid lupus erythematosus of eyelid└H01.121Discoid lupus erythematosus of right upper eyelid
└H01.121Discoid lupus erythematosus of right upper eyelid