Xanthelasma of left lower eyelid

This code describes the presence of xanthelasma, which are yellowish, cholesterol-rich plaques, specifically located on the lower eyelid of the patient's left eye. These lesions are benign and typically appear as soft, flat, or slightly raised deposits under the skin.

Use this code when documentation clearly indicates xanthelasma affecting the left lower eyelid. This diagnosis is commonly made during routine eye examinations or dermatological consultations when a patient presents with characteristic eyelid lesions. Supporting documentation includes physician notes detailing the location and appearance of the xanthelasma.

• Ensure laterality (left) and specific eyelid (lower) are clearly documented to support this precise code.
• Do not confuse with other eyelid lesions like chalazion or hordeolum; xanthelasma are distinct cholesterol deposits.
• Consider coding an underlying hyperlipidemia (e.g., E78.00, E78.2) if documented as a contributing factor, as xanthelasma can be a sign of elevated cholesterol.