H01.124 — Discoid lupus erythematosus of left upper eyelid
H01.124 is a billable, specific ICD-10-CM code for discoid lupus erythematosus of left upper eyelid. It is valid for submission on a claim.
Risk adjustment
H01.124 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H01.124 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57068Billing and Coding: Ocular Photography - External
- A57637Billing and Coding: Visual Field Examination
How H01.124 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H01.124.
- Lupus›erythematosus›eyelid›left›upper
Related codes at this level
Codes that share H01.12. If H01.124 is not quite right, the correct code is usually one of these.
- H01.121Discoid lupus erythematosus of right upper eyelid
- H01.122Discoid lupus erythematosus of right lower eyelid
- H01.123Discoid lupus erythematosus of right eye, unspecified eyelid
- H01.125Discoid lupus erythematosus of left lower eyelid
- H01.126Discoid lupus erythematosus of left eye, unspecified eyelid
- H01.129Discoid lupus erythematosus of unspecified eye, unspecified eyelid
Questions about H01.124
- Is H01.124 a billable ICD-10-CM code?
- Yes. H01.124 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H01.124 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).