H01.0 ICD-10-CM Code: Blepharitis

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H01.0 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on H01.0 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for H01.0

MedCoder structured workflow — derived from this code’s own official record

Before you code H01.0

1. H01.0 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

   ReviewH01.00, H01.01, H01.02

   See the relationships section · Guide: How to choose an ICD-10-CM code →

2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with H01.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

   See the official tabular notes

Choose the right path

1. Does the documentation support one of the more specific codes beneath H01.0?
   Yes → Select that code and continue the checks below on its own page.
   No → H01.0 cannot be reported as written; query for the specificity its subcategory needs.

   ReviewH01.00, H01.01, H01.02

2. Does the documentation support a condition named in H01.0’s Excludes1 note?
   Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
   No → Continue.

   ReviewH10.5

Consider H01.0. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement

Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

• Excludes1 — check before selecting H01.0(1 note)

  Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with H01.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

  CompareH10.5

  See the official tabular notes · Guidelines I.A.12.a

• Excludes2 — not part of H01.0(2 notes)

  Coding workflow: The conditions named in this note are not included in H01.0. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

  CompareS01.1, S00.1, S00.2

  See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse H01.0 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of H01.0 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• H10.5— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of blepharoconjunctivitis moves the case to H10.5; the two are not reported together unless documented as unrelated.

  Full comparison: H01.0 vs H10.5 →

• S01.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of open wound of eyelid adds S01.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: H01.0 vs S01.1 →

• S00.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of superficial injury of eyelid adds S00.1; it is not part of this code and both may be reported when both are documented.

  Full comparison: H01.0 vs S00.1 →

• S00.2— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of superficial injury of eyelid adds S00.2; it is not part of this code and both may be reported when both are documented.

  Full comparison: H01.0 vs S00.2 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Verify Before Coding

• Not billable as written — a more specific code is required: H01.001, H01.002, H01.003, H01.004, H01.005.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Contextual Map

Every relationship of H01.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run H01.0 with this related code in Claim Check

Hierarchy

• H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H00-H05 — Disorders of eyelid, lacrimal system and orbit[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Excludes1

• H10.5 — Blepharoconjunctivitis[Excludes1]: “blepharoconjunctivitis (H10.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Nearest codes (40)

• H01 — Other inflammation of eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.00 — Unspecified blepharitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.001 — Unspecified blepharitis right upper eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.002 — Unspecified blepharitis right lower eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.003 — Unspecified blepharitis right eye, unspecified eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.004 — Unspecified blepharitis left upper eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.005 — Unspecified blepharitis left lower eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• H01.006 — Unspecified blepharitis left eye, unspecified eyelid[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H01.0 in its code family, with their registry titles.

• H01 — Other inflammation of eyelid
• H01.00 — Unspecified blepharitis
• H01.001 — Unspecified blepharitis right upper eyelid
• H01.002 — Unspecified blepharitis right lower eyelid
• H01.003 — Unspecified blepharitis right eye, unspecified eyelid
• H01.004 — Unspecified blepharitis left upper eyelid
• H01.005 — Unspecified blepharitis left lower eyelid
• H01.006 — Unspecified blepharitis left eye, unspecified eyelid
• H01.009 — Unspecified blepharitis unspecified eye, unspecified eyelid
• H01.00A — Unspecified blepharitis right eye, upper and lower eyelids

View all codes in the H01 family