Xanthelasma of left upper eyelid

This code signifies the presence of xanthelasma, a benign, yellowish, cholesterol-rich deposit, specifically located on the upper eyelid of the patient's left eye. These lesions are typically soft, flat, or slightly raised plaques.

Apply this code when documentation clearly indicates xanthelasma affecting the left upper eyelid. This is commonly seen in patients with dyslipidemia or as an idiopathic finding. Documentation should specify the laterality and exact eyelid involved.

• Ensure laterality (left) and specific eyelid (upper) are clearly documented to support this precise code.
• Do not confuse with other eyelid lesions or inflammatory conditions; xanthelasma has a distinct clinical appearance.
• Consider coding any underlying hyperlipidemia (e.g., E78.00, E78.2) as a secondary diagnosis if documented as a contributing factor.