2026 ICD-10-CM Diagnosis Code H01.126Discoid lupus erythematosus of left eye, unspecified eyelid

ICD-10-CM Codes›H00–H59›H00-H05›H01

ICD-10-CM H01.126
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H01.126 is a billable ICD-10-CM diagnosis code for discoid lupus erythematosus of left eye, unspecified eyelid. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as discoid lupus erythematosus of eyelid. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cornea and external disease, Oculofacial plastics and orbital conditions, and Systemic lupus erythematosus and connective tissue disorders.

Code Identity

ICD-10-CM Code
H01.126
Billable Status
Yes — Valid for Submission
Code Describes
Discoid lupus erythematosus of left eye, unspecified eyelid
Short Description
Discoid lupus erythematosus of left eye, unspecified eyelid
Same as the full description in the CMS dataset.
Parent Code
H01.12
Discoid lupus erythematosus of eyelid

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH01Other inflammation of eyelid
This CodeH01.126Discoid lupus erythematosus of left eye, unspecified eyelid

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Discoid lupus erythematosus of eyelid
  • Discoid lupus erythematosus of left eyelid
  • Noninfectious dermatosis of eyelid

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Lupus
      • erythematosus (discoid) (local)
        • eyelid
          • left

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE001
Cornea and external disease
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient No · outpatient No
CCSR MUS024
Systemic lupus erythematosus and connective tissue disorders
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Eyelid Disorders

Your eyelids help protect your eyes. When you blink, your eyelids spread moisture over your eyes. Blinking also helps move dirt or other particles off the surface of the eye. You close your eyelids when you see something coming toward your eyes. This can help protect against injuries.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H01.126 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
373.34 Disc lup erythematos lid
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H01.126Overview

Is H01.126 (Discoid lupus erythematosus of eyelid) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report discoid lupus erythematosus of left eye, unspecified eyelid on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H01.126 group to?

When discoid lupus erythematosus of left eye, unspecified eyelid is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H01.126?

Under the General Equivalence Mappings, discoid lupus erythematosus of left eye, unspecified eyelid converts to ICD-9-CM 373.34 (disc lup erythematos lid). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.