Is H02.43 a billable ICD-10-CM code?

No. H02.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H02.43 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).

H02.43

H02.43 — Paralytic ptosis of eyelid

Non-billable headerICD-10-CM

H02.43 is a non-billable header ICD-10-CM code for paralytic ptosis of eyelid. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neurogenic ptosis of eyelid

Risk adjustment

H02.43 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.

Code to one of these instead H02.43

4 child codes. Green means billable.

Related codes at this level

Codes that share H02.4. If H02.43 is not quite right, the correct code is usually one of these.

Questions about H02.43

Is H02.43 a billable ICD-10-CM code?: No. H02.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H02.43 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).