H02.111 — Cicatricial ectropion of right upper eyelid
H02.111 is a billable, specific ICD-10-CM code for cicatricial ectropion of right upper eyelid. It is valid for submission on a claim.
Risk adjustment
H02.111 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H02.111 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56439Billing and Coding: Blepharoplasty
- A56503Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
- A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
- A57025Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
How H02.111 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H02.111.
- Ectropion›eyelid›cicatricial›right›upper
Related codes at this level
Codes that share H02.11. If H02.111 is not quite right, the correct code is usually one of these.
- H02.112Cicatricial ectropion of right lower eyelid
- H02.113Cicatricial ectropion of right eye, unspecified eyelid
- H02.114Cicatricial ectropion of left upper eyelid
- H02.115Cicatricial ectropion of left lower eyelid
- H02.116Cicatricial ectropion of left eye, unspecified eyelid
- H02.119Cicatricial ectropion of unspecified eye, unspecified eyelid
Questions about H02.111
- Is H02.111 a billable ICD-10-CM code?
- Yes. H02.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.111 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).