H02.5

H02.5: Other disorders affecting eyelid function

Non-billable headerICD-10-CM

H02.5 is a non-billable header ICD-10-CM code for other disorders affecting eyelid function. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

blepharospasm (G24.5)
organic tic (G25.69)
psychogenic tic (F95.-)

Excludes1 inherited from the categories above H02.5

A category’s note binds every code beneath it.

Written on H02: Other disorders of eyelid

congenital malformations of eyelid (Q10.0-Q10.3)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead H02.5

4 child codes. Green means billable.

H02.51Abnormal innervation syndrome
H02.52Blepharophimosis
H02.53Eyelid retraction
H02.59Other disorders affecting eyelid function

Other codes under H02

H02.0Entropion and trichiasis of eyelid
H02.1Ectropion of eyelid
H02.2Lagophthalmos
H02.3Blepharochalasis
H02.4Ptosis of eyelid
H02.6Xanthelasma of eyelid
H02.7Other and unspecified degenerative disorders of eyelid and periocular area
H02.8Other specified disorders of eyelid
H02.9Unspecified disorder of eyelid