H02.511 — Abnormal innervation syndrome right upper eyelid
H02.511 is a billable, specific ICD-10-CM code for abnormal innervation syndrome right upper eyelid. It is valid for submission on a claim.
Risk adjustment
H02.511 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
H02.511 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57637Billing and Coding: Visual Field Examination
How H02.511 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 H02.511.
- Syndrome›abnormal innervation›right›upper
Related codes at this level
Codes that share H02.51. If H02.511 is not quite right, the correct code is usually one of these.
- H02.512Abnormal innervation syndrome right lower eyelid
- H02.513Abnormal innervation syndrome right eye, unspecified eyelid
- H02.514Abnormal innervation syndrome left upper eyelid
- H02.515Abnormal innervation syndrome left lower eyelid
- H02.516Abnormal innervation syndrome left eye, unspecified eyelid
- H02.519Abnormal innervation syndrome unspecified eye, unspecified eyelid
Questions about H02.511
- Is H02.511 a billable ICD-10-CM code?
- Yes. H02.511 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.511 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).