H01.129
BillableDiscoid lupus erythematosus of unspecified eye, unspecified eyelid
HCC Category Mapping
RxHCCHCC 317 — Lupus, Cutaneous
0.000What This Code Means
A chronic autoimmune skin condition from discoid lupus erythematosus affecting the eyelid, but neither the specific eye nor the specific eyelid location is documented.
Coding Tips
- •This is the least specific code in the DLE eyelid series; use only when laterality and eyelid location are completely undocumented
- •Attempt to obtain clarification from clinical documentation before defaulting to this unspecified code
Clinical Significance
Discoid lupus erythematosus of unspecified eye, unspecified eyelid is the least specific code in the eyelid discoid lupus series, used when neither the laterality nor the specific eyelid is documented. This code should be used only as a last resort when clinical documentation cannot support any laterality or eyelid specificity. It represents a significant documentation improvement opportunity.
Documentation Requirements
- ✓Documentation of discoid lupus erythematosus affecting the eyelid(s)
- ✓Clinical or biopsy confirmation of the discoid lupus diagnosis
- ✓Assessment of bilateral versus unilateral involvement
- ✓Documentation of treatment plan
- ✓Notation that laterality and specific eyelid could not be determined from available information
Commonly Confused Codes
H01.121-H01.126 — Specific laterality and eyelid codes: use any of these when more specific information is availableL93.0 — Discoid lupus erythematosus (skin): general cutaneous code without eyelid specificityH01.009 — Unspecified blepharitis, unspecified eye: non-lupus eyelid inflammationM32.9 — Systemic lupus erythematosus, unspecified: systemic form, not limited to cutaneous/eyelid
Code Hierarchy
└H01Other inflammation of eyelid└H01.1Noninfectious dermatoses of eyelid└H01.12Discoid lupus erythematosus of eyelid└H01.129Discoid lupus erythematosus of unspecified eye, unspecified eyelid
└H01.129Discoid lupus erythematosus of unspecified eye, unspecified eyelid