Discoid lupus erythematosus of left upper eyelid

This code describes a chronic autoimmune inflammatory skin condition, discoid lupus erythematosus (DLE), specifically affecting the left upper eyelid. DLE is characterized by coin-shaped, erythematous, scaly plaques that can lead to scarring, atrophy, and pigmentary changes. When it affects the eyelid, it can cause localized inflammation and potential functional or cosmetic impairment.

Use this code when documentation clearly indicates a diagnosis of discoid lupus erythematosus impacting the left upper eyelid. This diagnosis is typically made based on clinical examination and often confirmed by biopsy demonstrating characteristic histopathological features. The physician's notes should specify the laterality and the exact eyelid involved.

• Ensure the documentation specifies "discoid" lupus erythematosus, not systemic lupus erythematosus or other forms of lupus.
• Verify the laterality (left) and the specific eyelid (upper) are clearly stated in the medical record.
• Consider co-occurring codes for any associated complications, such as cicatricial ectropion or entropion, if documented.