New ICD-10 Codes Effective October 1, 2018

This section lists the new eyecare-related ICD-10 codes that are effective October 1, 2018. Some of the codes may apply to rare conditions, but are provided here for reference.

Neoplasms of the Skin of the Eyelid

CMS is adding separate codes for the upper and lower lids and retiring some codes for unspecified lid. The following codes are effective beginning October 1, 2018.

  Right Eye Left Eye  
Description Upper Lid Lower Lid Upper Lid Lower Lid Unspecified Lid

Malignant melanoma, including canthus

C43.111

C43.112

C43.121

C43.122

—

Merkel cell carcinoma, including canthus

C4A.111

C4A.112

C4A.121

C4A.122

—

Unspecified malignant neoplasm of skin, including canthus

C44.1021

C44.1022

C44.1091

C44.1092

—

Basal cell carcinoma of skin, including canthus

C44.1121

C44.1122

C44.1191

C44.1192

—

Squamous cell carcinoma of skin, including canthus

C44.1221

C44.1222

C44.1291

C44.1292

—

Sebaceous cell carcinoma of skin, including canthus

C44.1321

C44.1322

C44.1391

C44.1392

C44.131

Other specified malignant neoplasm of skin, including canthus

C44.1921

C44.1922

C44.1991

C44.1992

—

Melanoma in situ, including canthus

D03.111

D03.112

D03.121

D03.122

 

Carcinoma in situ, including canthus

D04.111

D04.112

D04.121

D04.122

 

Melanocytic nevi, including canthus

D22.111

D22.112

D22.121

D22.122

 

Other benign neoplalsm of skin, including canthus

D23.111

D23.112

D23.121

D23.122

 

Blepharitis

CMS is adding codes to unify the coding of upper and lower lid. The following codes are effective beginning October 1, 2018.

Description Right eye Left Eye

Unspecified blepharitis, upper and lower lids

H01.00A

H01.00B

Ulcerative blepharitis, upper and lower lids

H01.01A

H01.01B

Squamous blepharitis, upper and lower lids

H01.02A

H01.02B

Paralytic Ectropion of the Eyelid

The following codes are effective beginning October 1, 2018.

Description Right Eye Left Eye Unspecified Eye

Paralytic ectropion, upper eyelid

H02.151

H02.152

H02.153

Paralytic ectropion, lower eyelid

H02.154

H02.155

H02.156

Paralytic ectropion, unspecified eyelid

—

—

H02.159

Lagophthalmos

CMS is adding codes to unify the coding of upper and lower lid. The following codes are effective beginning October 1, 2018.

Description Right Eye Left Eye Bilateral

Unspecified lagophthalmos, upper and lower eyelids

H02.20A

H02.20B

H02.20C

Cicatricial lagophthalmos, upper and lower eyelids

H02.21A

H02.21B

H02.21C

Mechanical lagophthalmos, upper and lower eyelids

H02.22A

H02.22B

H02.22C

Paralytic lagophthalmos, upper and lower eyelids

H02.23A

H02.23B

H02.23C

Meibomian Gland Dysfunction of the Eyelid

The following codes are effective beginning October 1, 2018.

Description Right Eye Left Eye Unspecified

Upper eyelid

H02.881

H02.884

—

Lower eyelid

H02.882

H02.885

—

Unspecified eyelid

H02.883

H02.886

H02.889

Upper and lower eyelids

H02.88A

H02.88B

—

Other Conjunctivitis

The following codes are effective beginning October 1, 2018.

Description Right Eye Left Eye Bilateral Unspecified Eye

Rosacea conjunctivitis

H10.821

H10.822

H10.823

H10.829

Other Disorders of Eye and Adnexa

The following codes are effective beginning October 1, 2018.

Description Right Eye Left Eye Bilateral Unspecified Eye

Brow ptosis

H57.811

H57.812

H57.813

H57.819