H02.423
H02.423 — Myogenic ptosis of bilateral eyelids
Billable / specific codeICD-10-CMbilateral
H02.423 is a billable, specific ICD-10-CM code for myogenic ptosis of bilateral eyelids. It is valid for submission on a claim.
Risk adjustment
H02.423 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
H02.423 is named in 22 Medicare coverage policies — 22 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
Related codes at this level
Codes that share H02.42. If H02.423 is not quite right, the correct code is usually one of these.
Questions about H02.423
- Is H02.423 a billable ICD-10-CM code?
- Yes. H02.423 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.423 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).