Xanthelasma of right eye, unspecified eyelid

This code signifies the presence of xanthelasma, which are yellowish, cholesterol-rich deposits, specifically located on the skin of the right eyelid. These lesions are typically benign and appear as soft, flat plaques. The "unspecified eyelid" indicates that the exact upper or lower eyelid involvement is not documented.

Use this code when documentation clearly identifies xanthelasma affecting the right eye, without further specification of the upper or lower lid. This is appropriate for initial diagnosis, follow-up, or when the patient presents for evaluation or treatment of these lesions. Supporting documentation would include physician notes describing the location and nature of the eyelid lesions.

• Ensure laterality (right eye) is clearly documented. If the left eye is affected, a different code is required.
• If the specific eyelid (upper or lower) is documented, a more precise code should be used.
• Consider coding any underlying hyperlipidemia if documented, as xanthelasma can be a sign of elevated cholesterol.