H02.22C — Mechanical lagophthalmos, bilateral, upper and lower eyelids
H02.22C is a billable, specific ICD-10-CM code for mechanical lagophthalmos, bilateral, upper and lower eyelids. It is valid for submission on a claim.
Risk adjustment
H02.22C 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
H02.22C 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 H02.22C 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 H02.22C.
- Lagophthalmos›mechanical›bilateral, upper and lower eyelids
Related codes at this level
Codes that share H02.22. If H02.22C is not quite right, the correct code is usually one of these.
- H02.221Mechanical lagophthalmos right upper eyelid
- H02.222Mechanical lagophthalmos right lower eyelid
- H02.223Mechanical lagophthalmos right eye, unspecified eyelid
- H02.224Mechanical lagophthalmos left upper eyelid
- H02.225Mechanical lagophthalmos left lower eyelid
- H02.226Mechanical lagophthalmos left eye, unspecified eyelid
- H02.229Mechanical lagophthalmos unspecified eye, unspecified eyelid
- H02.22AMechanical lagophthalmos right eye, upper and lower eyelids
- H02.22BMechanical lagophthalmos left eye, upper and lower eyelids
Questions about H02.22C
- Is H02.22C a billable ICD-10-CM code?
- Yes. H02.22C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.22C 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).