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    OpenPayerBilling CodesDisorders of eyelid, lacrimal system and orbitICD-10-CM h02-other-disorders-of-eyelid
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    ICD-10-CM Code For Other Disorders Of Eyelid: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H02 includes a range of nontraumatic eyelid conditions such as entropion, ectropion, blepharochalasis, ptosis, and other specified eyelid disorders that affect eyelid position, structure, or function. These ICD-10-CM diagnosis codes are used to document clinical presentations involving eyelid malposition, inflammation, degeneration, or chronic eyelid disease, capturing severity, laterality, and any associated complications. Accurate coding within the ICD-10-CM H02 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM H02: Other Disorders Of Eyelid Overview

    The ICD-10-CM H02 group captures a range of nontraumatic eyelid conditions such as malpositions, inflammations, and degenerative changes affecting the eyelid and adjacent tissues. These diagnoses target the ocular adnexa and periocular skin and can impact vision, tear function, and patient comfort. Accurate coding matters for appropriate claim adjudication and to reflect clinical complexity for reimbursement.

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    When to Use

    Use a code from this group when documenting a diagnosed eyelid condition such as entropion, ectropion, ptosis, blepharochalasis, or other specified eyelid disorder that is not due to trauma. Select the most specific code that reflects the clinical findings, laterality, and any documented complications or recurrent status.

    ICD-10-CM Codes

    259 rows

    ICD-10-CM CodeDescription
    H02.001Unspecified entropion of right upper eyelid
    H02.002Unspecified entropion of right lower eyelid
    H02.003Unspecified entropion of right eye, unspecified eyelid
    H02.004Unspecified entropion of left upper eyelid
    H02.005Unspecified entropion of left lower eyelid
    H02.006Unspecified entropion of left eye, unspecified eyelid
    H02.009Unspecified entropion of unspecified eye, unspecified eyelid
    H02.011Cicatricial entropion of right upper eyelid
    H02.012Cicatricial entropion of right lower eyelid
    H02.013Cicatricial entropion of right eye, unspecified eyelid
    H02.014Cicatricial entropion of left upper eyelid
    H02.015Cicatricial entropion of left lower eyelid
    H02.016Cicatricial entropion of left eye, unspecified eyelid
    H02.019Cicatricial entropion of unspecified eye, unspecified eyelid
    H02.021Mechanical entropion of right upper eyelid
    H02.022Mechanical entropion of right lower eyelid
    H02.023Mechanical entropion of right eye, unspecified eyelid
    H02.024Mechanical entropion of left upper eyelid
    H02.025Mechanical entropion of left lower eyelid
    H02.026Mechanical entropion of left eye, unspecified eyelid

    Showing 1–20 of 259

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    DRG Codes

    5 rows

    DRG CodeDescription
    123Neurological Eye Disorders
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC
    606Minor Skin Disorders with MCC
    607Minor Skin Disorders without MCC

    Typical Clinical Scenarios

    • An elderly patient presents to primary care with progressive drooping of the upper eyelids over months causing visual field obstruction and difficulty with reading and driving. The clinician documents involutional ptosis from age-related levator aponeurosis dehiscence and evaluates for surgical correction; a chronic eyelid malposition diagnosis from this group is assigned to describe the eyelid contour and functional impairment. Typical codes: H02.821, H02.822
    • A middle-aged patient arrives at the emergency department after blunt facial trauma with acute eyelid laceration and contamination; the wound involves the eyelid margin and requires suturing and tetanus update. An acute eyelid injury diagnosis within this group is used to code the traumatic eyelid wound and guide urgent ophthalmic repair. Typical codes: H02.03A, H02.04A
    • A patient with long-standing blepharitis complicated by recurrent chalazia presents to outpatient ophthalmology for chronic inflammatory eyelid disease with secondary scarring and entropion causing corneal irritation. The chronic inflammatory and resultant eyelid malposition diagnoses from this group are assigned to capture the underlying eyelid disorder as a comorbidity impacting ocular surface management. Typical codes: H02.20A, H02.21A

    Related Codes

    H00-HORDEOLUM-AND-CHALAZION

    ICD-10-CM Code For Hordeolum And Chalazion: Group Overview

    H01-OTHER-INFLAMMATION-OF-EYELID

    ICD-10-CM Code For Other Inflammation Of Eyelid: Group Overview

    H04-DISORDERS-OF-LACRIMAL-SYSTEM

    ICD-10-CM Code For Disorders Of Lacrimal System: Group Overview

    H05-DISORDERS-OF-ORBIT

    ICD-10-CM Code For Disorders Of Orbit: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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