H02.213 — Cicatricial lagophthalmos right eye, unspecified eyelid
H02.213 is a billable, specific ICD-10-CM code for cicatricial lagophthalmos right eye, unspecified eyelid. It is valid for submission on a claim.
Risk adjustment
H02.213 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
H02.213 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57637Billing and Coding: Visual Field Examination
How H02.213 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 H02.213.
- Lagophthalmos›cicatricial›right
Related codes at this level
Codes that share H02.21. If H02.213 is not quite right, the correct code is usually one of these.
- H02.211Cicatricial lagophthalmos right upper eyelid
- H02.212Cicatricial lagophthalmos right lower eyelid
- H02.214Cicatricial lagophthalmos left upper eyelid
- H02.215Cicatricial lagophthalmos left lower eyelid
- H02.216Cicatricial lagophthalmos left eye, unspecified eyelid
- H02.219Cicatricial lagophthalmos unspecified eye, unspecified eyelid
- H02.21ACicatricial lagophthalmos right eye, upper and lower eyelids
- H02.21BCicatricial lagophthalmos left eye, upper and lower eyelids
- H02.21CCicatricial lagophthalmos, bilateral, upper and lower eyelids
Questions about H02.213
- Is H02.213 a billable ICD-10-CM code?
- Yes. H02.213 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.213 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).