ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H01.012

Billable / Specific

Ulcerative blepharitis right lower eyelid

H01
Block
0
Synonyms
48
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM H01.012

ICD-10-CM code H01.012 represents Ulcerative blepharitis right lower eyelid. This is a billable/specific code in the Eye and Adnexa chapter (block H01). The 2026 edition of ICD-10-CM H01.012 became effective on October 1, 2025.

Medicare LCD Coverage for H01.012

Local Coverage Determinations (LCDs) from CMS MACs that list H01.012 as a covered diagnosis.

48 LCDs

Showing top 10 of 48 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67908 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67915 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67921 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67922 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 15823 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67909 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67917 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67923 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67903 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67902 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H01.012.

4 policies

4 Medicare

Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Policy ID: ART-57025
Billing and Coding: Ocular Photography - External
Policy ID: ART-57068
Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Policy ID: ART-57618
Billing and Coding: Visual Field Examination
Policy ID: ART-57637

CPT Codes Commonly Billed with H01.012

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H01.012

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H01.012 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H01.012 37301 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H01.012, Billing FAQ

Is ICD-10 code H01.012 billable? +

Yes, H01.012 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H01.012 map to? +

Per CMS GEMs, H01.012 maps to ICD-9 codes: 37301. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included