H02.59 — Other disorders affecting eyelid function
H02.59 is a billable, specific ICD-10-CM code for other disorders affecting eyelid function. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Deficient blink reflex
- Sensory disorders
Risk adjustment
H02.59 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
H02.59 is named in 6 Medicare coverage policies — 6 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
- A59713Billing and Coding: Botulinum Toxin Injections
- A59725Billing and Coding: Botulinum Toxins Injections
- A59727Billing and Coding: Botulinum Toxin Injections
How H02.59 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 H02.59.
- Blepharoclonus
- Adhesions, adhesive›eyelid
- Disorder›eyelid›function
Related codes at this level
Codes that share H02.5. If H02.59 is not quite right, the correct code is usually one of these.
Questions about H02.59
- Is H02.59 a billable ICD-10-CM code?
- Yes. H02.59 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.59 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).