ICD-10-CM Billable Code

H00.19

Chalazion unspecified eye, unspecified eyelid

Clinical Classification Guidelines

Medical Intelligence & Overview

A chalazion is a small, painless lump that appears on the eyelid due to a blocked oil gland. Specifically coded as H00.19 in the ICD-10 classification, this condition can develop on either the upper or lower eyelid and may affect one or both eyes. While often not serious, it can cause discomfort or cosmetic concerns if left untreated. Recognizing its symptoms and understanding the available treatments can help manage the condition effectively.

Causes & Symptoms

Clinical Causes: Blockage of an oil (meibomian) gland in the eyelid Inflammation or infection of the gland leading to obstruction Poor eyelid hygiene or the presence of seborrheic dermatitis Underlying skin conditions such as rosacea Chronic eyelid inflammation (blepharitis)

Key Symptoms: A noticeable lump or swelling on the eyelid, typically painless Swelling that develops gradually over days or weeks Possible redness and tenderness around the lump Occasional mild eye irritation or blurred vision if the lump enlarges Rarely, the lump may become inflamed, leading to discomfort

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a chalazion is generally made through a physical examination of the eyelid. The healthcare provider will observe the size, appearance, and location of the lump. In some cases, gentle eyelid eversion may be performed to check for additional signs of infection or other eyelid issues. No advanced imaging is typically necessary. If the diagnosis is uncertain or other eye conditions are suspected, additional tests might be ordered to rule out other causes, such as a stye or malignant growth.

Treatment Protocols: Most chalazions resolve without medical intervention over time. However, several treatments can aid in faster healing and symptom relief:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H00.19 a billable ICD-10 code?
Yes, H00.19 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H00.19?
Clinical documentation must specify the nature of Chalazion unspecified eye, unspecified eyelid and any associated comorbidities for accurate reporting.

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