Is H02.524 a billable ICD-10-CM code?

Yes. H02.524 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H02.524 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).

What cannot be coded together with H02.524?

H02.524 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H02.524 (H02) and apply to it just the same.

H02.524

H02.524 — Blepharophimosis left upper eyelid

Billable / specific codeICD-10-CMleft

H02.524 is a billable, specific ICD-10-CM code for blepharophimosis left upper eyelid. It is valid for submission on a claim.

Excludes1 inherited from the categories above H02.524

These are not written on H02.524, but they bind it: a note on a category applies to every code beneath it. Billing H02.524 with anything listed here is a denial.

Written on H02 — Other disorders of eyelid

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

Excludes2 inherited from the categories above H02.524

Also inherited, and the opposite of Excludes1: these conditions are not part of H02.524, but a patient can have both, so you may code both.

Written on H02.5 — Other disorders affecting eyelid function

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

Risk adjustment

H02.524 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

H02.524 is named in 7 Medicare coverage policies — 7 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
A56908Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
A57025Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow

How H02.524 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 H02.524.

Blepharophimosis›left›upper

Code history

H02.524 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H02.52. If H02.524 is not quite right, the correct code is usually one of these.

Questions about H02.524

Is H02.524 a billable ICD-10-CM code?: Yes. H02.524 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H02.524 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).
What cannot be coded together with H02.524?: H02.524 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H02.524 (H02) and apply to it just the same.