H01.123
BillableDiscoid lupus erythematosus of right eye, unspecified eyelid
HCC Category Mapping
RxHCCHCC 317 — Lupus, Cutaneous
0.000What This Code Means
A chronic autoimmune skin condition affecting the eyelid area of the right eye, causing inflammation and scarring from discoid lupus erythematosus.
Coding Tips
- •Verify documentation specifies right eye and that the eyelid location is truly unspecified before using this code
- •Confirm the diagnosis is discoid lupus erythematosus (DLE) and not systemic lupus erythematosus (SLE), as they have different codes
Clinical Significance
Discoid lupus erythematosus of right eye, unspecified eyelid is used when discoid lupus affects the right eye's eyelid area but the specific eyelid (upper or lower) is not documented. While this captures the laterality, it lacks the specificity of identifying which eyelid is involved. This code should prompt a query for more specific documentation when possible.
Documentation Requirements
- ✓Documentation of discoid lupus changes affecting the right eye eyelid area
- ✓Confirmation of discoid lupus diagnosis through clinical findings or biopsy
- ✓Explanation of why specific eyelid (upper vs lower) cannot be determined
- ✓Assessment of overall eyelid function and ocular surface health
- ✓Treatment plan for the lupus eyelid involvement
Commonly Confused Codes
H01.121 — Discoid lupus erythematosus of right upper eyelid: use when upper eyelid is specifically documentedH01.122 — Discoid lupus erythematosus of right lower eyelid: use when lower eyelid is specifically documentedH01.129 — Discoid lupus erythematosus of unspecified eye, unspecified eyelid: even less specific, neither eye nor eyelid specifiedL93.0 — Discoid lupus erythematosus: general skin code, not eyelid-specific
Code Hierarchy
└H01Other inflammation of eyelid└H01.1Noninfectious dermatoses of eyelid└H01.12Discoid lupus erythematosus of eyelid└H01.123Discoid lupus erythematosus of right eye, unspecified eyelid
└H01.123Discoid lupus erythematosus of right eye, unspecified eyelid