MCMedicalCodingSoftware
H02.59

H02.59: Other disorders affecting eyelid function

Billable / specific codeICD-10-CM

H02.59 is a billable, specific ICD-10-CM code for other disorders affecting eyelid function. It is valid for submission on a claim.

Check H02.59 with the rest of the claim: free scrubber

Inclusion terms

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

  • Deficient blink reflex
  • Sensory disorders

Excludes1 inherited from the categories above H02.59

A category’s note binds every code beneath it.

Written on H02: Other disorders of eyelid

Excludes2 inherited from the categories above H02.59

Not part of this code, but both may be coded when both are present.

Written on H02.5: Other disorders affecting eyelid function

Risk adjustment

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

Medicare coverage

H02.59 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57637Billing and Coding: Visual Field Examination
  • A59725Billing and Coding: Botulinum Toxins Injections
  • A59727Billing and Coding: Botulinum Toxin Injections
  • A59728Billing and Coding: Botulinum Toxin Injections

Alphabetic index entries that lead here

  • Blepharoclonus
  • Adhesions, adhesive›eyelid
  • Disorder›eyelid›function

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H02.5

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.