H01.126
BillableDiscoid lupus erythematosus of left eye, unspecified eyelid
HCC Category Mapping
RxHCCHCC 317 — Lupus, Cutaneous
0.000What This Code Means
A chronic autoimmune skin condition affecting the left eye with discoid lupus erythematosus, but the specific eyelid location (upper or lower) is not documented.
Coding Tips
- •Use this code only when the eyelid location cannot be determined from documentation
- •Query the provider if possible to obtain more specific anatomical location for more precise coding
Clinical Significance
Discoid lupus erythematosus of left eye, unspecified eyelid captures lupus involvement of the left eye's eyelid when the specific eyelid (upper or lower) is not documented. This code preserves laterality information while noting the eyelid is unspecified. It should trigger a documentation improvement effort to identify the specific eyelid involved.
Documentation Requirements
- ✓Documentation of discoid lupus affecting the left eye eyelid area
- ✓Clinical or biopsy confirmation of discoid lupus
- ✓Explanation of why the specific eyelid cannot be determined
- ✓Assessment of eyelid function and ocular surface status
- ✓Treatment plan for the eyelid involvement
Commonly Confused Codes
H01.124 — Discoid lupus erythematosus of left upper eyelid: more specific — use when upper eyelid is documentedH01.125 — Discoid lupus erythematosus of left lower eyelid: more specific — use when lower eyelid is documentedH01.129 — Discoid lupus erythematosus of unspecified eye, unspecified eyelid: even less specific, no lateralityH01.123 — Discoid lupus erythematosus of right eye, unspecified eyelid: contralateral side
Code Hierarchy
└H01Other inflammation of eyelid└H01.1Noninfectious dermatoses of eyelid└H01.12Discoid lupus erythematosus of eyelid└H01.126Discoid lupus erythematosus of left eye, unspecified eyelid
└H01.126Discoid lupus erythematosus of left eye, unspecified eyelid