2027 ICD-10-CM Diagnosis Code H01.8AOther specified inflammation of right eye, upper and lower eyelids
ICD-10-CM Codes›H00–H59›H00-H05›H01
- Billable — Valid for Submission
- Not Chronic
H01.8A is a billable ICD-10-CM diagnosis code for other specified inflammation of right eye, upper and lower eyelids. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cornea and external disease and Oculofacial plastics and orbital conditions.
Code Identity
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H01.8A: its own notes plus those printed at H01.8, block H00-H05, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name H01.8A, its category, or a range that includes it.
Use Additional Code 1
These codes say to use an additional code from the note, and H01.8A is one of the codes named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Eye Diseases
Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.
The full article covers:
- What diseases can affect the eye?
- What are the symptoms of eye diseases?
- Who is more likely to develop eye diseases?
- What are the treatments for eye diseases?
- Can eye diseases be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement H01.8A replaces the following previously assigned code(s):
- H01.8 - Other specified inflammations of eyelid
Questions About H01.8AOverview
What is the ICD-10 code for other specified inflammation of right eye, upper and lower eyelids?
The ICD-10-CM code for other specified inflammation of right eye, upper and lower eyelids is H01.8A (sometimes written as H018A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H01.8A (Other specified inflammations of eyelid) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified inflammation of right eye, upper and lower eyelids on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H01.8A group to?
When other specified inflammation of right eye, upper and lower eyelids is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.