Is H02.225 a billable ICD-10-CM code?

Yes. H02.225 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H02.225 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).

H02.225

H02.225 — Mechanical lagophthalmos left lower eyelid

Billable / specific codeICD-10-CMleft

H02.225 is a billable, specific ICD-10-CM code for mechanical lagophthalmos left lower eyelid. It is valid for submission on a claim.

Risk adjustment

H02.225 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

H02.225 is named in 6 Medicare coverage policies — 6 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 H02.225 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 H02.225.

Lagophthalmos›mechanical›left›lower

Related codes at this level

Codes that share H02.22. If H02.225 is not quite right, the correct code is usually one of these.

Questions about H02.225

Is H02.225 a billable ICD-10-CM code?: Yes. H02.225 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H02.225 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).