Is H02.81 a billable ICD-10-CM code?

No. H02.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H02.81 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 H02.81?

H02.81 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 H02.81 (H02) and apply to it just the same.

H02.81

H02.81 — Retained foreign body in eyelid

Non-billable headerICD-10-CM

H02.81 is a non-billable header ICD-10-CM code for retained foreign body in eyelid. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

laceration of eyelid with foreign body (S01.12-)
retained intraocular foreign body (H44.6-, H44.7-)
superficial foreign body of eyelid and periocular area (S00.25-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify the type of retained foreign body (Z18.-)

Excludes1 inherited from the categories above H02.81

These are not written on H02.81, but they bind it: a note on a category applies to every code beneath it. Billing H02.81 with anything listed here is a denial.

Written on H02 — Other disorders of eyelid

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

Other codes that can never be billed with H02.81

These codes carry an Excludes1 note pointing at H02.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H02.81 alone.

Z03.82Encounter for observation for suspected foreign body ruled out

Risk adjustment

H02.81 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.

Code history

H02.81 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H02.81

7 child codes. Green means billable.

Related codes at this level

Codes that share H02.8. If H02.81 is not quite right, the correct code is usually one of these.

Questions about H02.81

Is H02.81 a billable ICD-10-CM code?: No. H02.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H02.81 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 H02.81?: H02.81 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 H02.81 (H02) and apply to it just the same.