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Blepharitis F022

Document
Last amended 
25 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP 63 of 2010
Balance of Probabilities SOP
64 of 2010
Changes from Previous Instruments:

SOP Bulletin 146

ICD Coding:
  • ICD-9-CM Codes: 373.0
  • CD-10-AM Codes: H01.0

Blepharitis means inflammation of the eyelid margins (where the eyelashes insert).

Is specific diagnostic evidence required to apply either SOP?No. 
Are there sub-factors that require specific information? – No. 
Additional diagnoses covered by SOP
  • Acute blepharitis
  • Chronic blepharitis
  • Chalazion
  • Hordeolum
Conditions not covered by SOP
  • Meibomian cyst, ICD code 373.2
  • Conjunctivitis, ICD codes 370.3, 370.4, 372.0-372.3, 077
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then:

  1. seek medical officer advice about further investigation, or;
  2. generate a diagnostic report, or;
  3. re-encode the condition, if appropriate.

The following may be useful in establishing the diagnosis:

  • Report from treating doctor