Eye Lesion ICD-10-CM Codes

What ICD codes are used for eye lesions?

The specific ICD-10-CM codes used for eye lesions depend on the underlying cause, location, and laterality. Common examples include:

• H02.9: Unspecified disorder of eyelid: Used for documenting a non-specific eyelid condition when the exact diagnosis is not determined. This includes terms like eyelid lesion, bilateral eyelid disorders, and inflammatory changes without a confirmed underlying cause.
• H01.9: Unspecified inflammation of eyelid: Used for coding general inflammation of the eyelid (e.g., blepharitis or dermatitis) when the specific source or type of inflammation is not documented.
• H02.873: Vascular anomalies of right eye, unspecified eyelid: Used for vascular lesions or malformations affecting the eyelid of the right eye, such as hemangiomas or capillary anomalies, when the exact eyelid region is not specified.
• H02.876: Vascular anomalies of left eye, unspecified eyelid: Used for documenting vascular lesions on the left eyelid, unspecified as upper or lower.
• H02.879: Vascular anomalies of unspecified eye, unspecified eyelid: Used for nonspecific vascular abnormalities of the eyelid when both eye side and eyelid location are not documented.
• H02.871: Vascular anomalies of right upper eyelid: Used for vascular lesions such as hemangiomas on the right upper eyelid.
• H02.872: Vascular anomalies of right lower eyelid: Used for identifying vascular abnormalities (e.g. venous malformations) affecting the right lower eyelid.
• H02.874: Vascular anomalies of left upper eyelid: Used for lesions or vascular defects of the left upper eyelid, often seen in pediatric or congenital cases.
• H02.875: Vascular anomalies of left lower eyelid: Used for vascular malformations on the left lower eyelid, including congenital and acquired types.

Are these eye lesion ICD codes billable?

Yes, all of the ICD-10-CM codes listed above for eye lesions are valid and billable.

Clinical information

• An eyelid lesion refers to any abnormal growth, swelling, or inflammation affecting the eyelid tissues. These lesions can be benign or malignant and may arise from infections, blocked glands, trauma, or underlying systemic conditions.
• Clinically, patients may present with localized swelling, redness, discomfort, or visible masses, and in some cases, visual disturbance if the lesion obstructs the visual axis.
• Many eyelid lesions fall under the category of other specified disorders of the eyelid when a precise diagnosis is known but doesn't match a more commonly coded condition. For instance, lesions caused by allergic reactions, chronic irritation, or autoimmune diseases may be classified under other disorders of the eyelid if they don’t fit standard categories like chalazion or hordeolum. These are distinct from unspecified disorders of the eyelid, which are used when the nature of the eyelid condition hasn’t been clearly identified.
• In cases where inflammation is a prominent feature, the diagnosis may fall under eyelid inflammation, including conditions such as blepharitis or post-surgical inflammation.
• When such disorders affect bilateral upper eyelids, they may cause significant functional and cosmetic concerns, especially if accompanied by ptosis or eyelid thickening.
• Clinicians should evaluate whether the condition is acute or chronic, infectious or non-infectious and whether it qualifies as a specified disorder of the eyelid for accurate diagnosis and billing.

Synonyms include

• Vascular lesion of the eyelid
• Vascular lesion of the right eyelid
• Vascular lesion of the right upper eyelid
• Vascular lesion of the right lower eyelid
• Vascular lesion of the left eyelid
• Vascular lesion of the left upper eyelid
• Vascular lesion of the left lower eyelid
• Lesion of the eye structure
• Floppy eyelid syndrome
• Eyelid disorder