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ICD-10 Coding for Demodex Blepharitis(B88.0, H01.0-)

Complete ICD-10-CM coding and documentation guide for Demodex Blepharitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Eyelid Mite InfestationDemodicosis of the Eyelid

Related ICD-10 Code Ranges

Complete code families applicable to Demodex Blepharitis

B85-B89Primary Range

Pediculosis and other infestations

This range includes infestations by mites, including Demodex.

Blepharitis

This range includes inflammatory conditions of the eyelid, such as blepharitis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
B88.0Other acariasisUse when Demodex mites are confirmed via microscopy or collarettes are present.
  • Microscopy confirms presence of Demodex mites.
  • Collarettes observed at the base of eyelashes.
H01.0-BlepharitisUse as a secondary code to specify blepharitis due to Demodex infestation.
  • Symptoms of eyelid inflammation and irritation.
  • Documentation of blepharitis secondary to Demodex.

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for Demodex blepharitis

Essential facts and insights about Demodex Blepharitis

The ICD-10 code for Demodex blepharitis is B88.0, used with H01.0- for blepharitis manifestation.

Primary ICD-10-CM Codes for demodex blepharitis

Other acariasis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of collarettes and confirmed Demodex mites.

Applicable To

  • Demodex folliculorum

Excludes

Clinical Validation Requirements

  • Microscopy confirms presence of Demodex mites.
  • Collarettes observed at the base of eyelashes.

Code-Specific Risks

  • Incorrect sequencing with H01.0- can lead to denials.

Coding Notes

  • Always sequence B88.0 before H01.0- to comply with etiology/manifestation coding rules.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Parasite direct smear

87177
Use when microscopic examination is performed to confirm mite presence.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Scabies

B86
Scabies involves a different mite and typically presents with widespread itching and rash.

Blepharoconjunctivitis

H10.5
Involves conjunctival inflammation, not just eyelid.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Demodex Blepharitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B88.0.

Impact

Clinical: Misrepresentation of the condition's etiology., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always link blepharitis to Demodex in documentation., Use specific phrases like 'secondary to Demodex'.

Impact

Reimbursement: Claims may be denied for unspecified etiology., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate representation of the patient's condition.

Mitigation Strategy

Always pair H01.0- with B88.0 for Demodex-related blepharitis.

Impact

Incorrect sequencing of B88.0 and H01.0-.

Mitigation Strategy

Ensure B88.0 is always sequenced before H01.0-.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Demodex Blepharitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Demodex Blepharitis

Use these documentation templates to ensure complete and accurate documentation for Demodex Blepharitis. These templates include all required elements for proper coding and billing.

Ophthalmology Progress Note

Specialty: Ophthalmology

Required Elements

  • Lid margin erythema
  • Collarette presence
  • Microscopy results
  • Failed therapies

Example Documentation

Ocular Surface Exam: Lid margins: 2+ erythema OU. Collarettes: 6 lashes OD, 8 lashes OS. Microscopy: 2.1 mites/lash OD, 1.9 mites/lash OS (87177 performed). Failed therapies: Cliradex wipes BID x 8 weeks. Assessment: 1. Demodex blepharitis (B88.0) 2. Chronic anterior blepharitis, bilateral (H01.013)

Examples: Poor vs. Good Documentation

Poor Documentation Example
Chronic itchy eyelids, prescribe lid scrubs
Good Documentation Example
Collarettes on 50% lashes OU. Microscope shows D. folliculorum (2.4 mites/lash). Failed Theralid® wipes x 6wks.
Explanation
The good example provides specific findings and failed treatment details, supporting the diagnosis.

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