H02.23C — Paralytic lagophthalmos, bilateral, upper and lower eyelids
H02.23C is a billable, specific ICD-10-CM code for paralytic lagophthalmos, bilateral, upper and lower eyelids. It is valid for submission on a claim.
Risk adjustment
H02.23C 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
H02.23C is named in 9 Medicare coverage policies — 9 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
- A56612Billing and Coding: CT of the Head
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
How H02.23C 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 H02.23C.
- Lagophthalmos›paralytic›bilateral, upper and lower eyelids
Related codes at this level
Codes that share H02.23. If H02.23C is not quite right, the correct code is usually one of these.
- H02.231Paralytic lagophthalmos right upper eyelid
- H02.232Paralytic lagophthalmos right lower eyelid
- H02.233Paralytic lagophthalmos right eye, unspecified eyelid
- H02.234Paralytic lagophthalmos left upper eyelid
- H02.235Paralytic lagophthalmos left lower eyelid
- H02.236Paralytic lagophthalmos left eye, unspecified eyelid
- H02.239Paralytic lagophthalmos unspecified eye, unspecified eyelid
- H02.23AParalytic lagophthalmos right eye, upper and lower eyelids
- H02.23BParalytic lagophthalmos left eye, upper and lower eyelids
Questions about H02.23C
- Is H02.23C a billable ICD-10-CM code?
- Yes. H02.23C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.23C 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).