H01.00A — Unspecified blepharitis right eye, upper and lower eyelids
Is H01.00A billable?
Yes, but H01.00A is an unspecified code. H01.00A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H01.00A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting H01.00A — the more specific alternatives are listed below.
More specific alternatives
- H01.001Unspecified blepharitis right upper eyelid
- H01.002Unspecified blepharitis right lower eyelid
- H01.003Unspecified blepharitis right eye, unspecified eyelid
- H01.004Unspecified blepharitis left upper eyelid
- H01.005Unspecified blepharitis left lower eyelid
- H01.006Unspecified blepharitis left eye, unspecified eyelid
- H01.009Unspecified blepharitis unspecified eye, unspecified eyelid
- H01.00BUnspecified blepharitis left eye, upper and lower eyelids
H01.00A at a glance
| Code | H01.00A |
|---|---|
| Description | Unspecified blepharitis right eye, upper and lower eyelids |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H01.00A group to?
H01.00A sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is H01.00A listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H01.00A. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Blepharitis › right › upper and lower (angularis) (ciliaris) (eyelid) (marginal) (nonulcerative)
Excludes1 — never code together — inherited from H01.0
The conditions below can never be reported together with H01.00A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- blepharoconjunctivitis (H10.5-)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H01.00A, but a patient may have both at the same time. When documentation supports it, H01.00A and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Excludes2 — not included here — inherited from H00-H05
The conditions below are not part of H01.00A, but a patient may have both at the same time. When documentation supports it, H01.00A and the excluded code may both be reported.
How long has H01.00A existed?
H01.00A first appears in FY2019.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to H01.00A?
What other codes are in the H01.00 family? (8)
- H01.001Unspecified blepharitis right upper eyelid
- H01.002Unspecified blepharitis right lower eyelid
- H01.003Unspecified blepharitis right eye, unspecified eyelid
- H01.004Unspecified blepharitis left upper eyelid
- H01.005Unspecified blepharitis left lower eyelid
- H01.006Unspecified blepharitis left eye, unspecified eyelid
- H01.009Unspecified blepharitis unspecified eye, unspecified eyelid
- H01.00BUnspecified blepharitis left eye, upper and lower eyelids