H02.811 — Retained foreign body in right upper eyelid
H02.811 is a billable, specific ICD-10-CM code for retained foreign body in right upper eyelid. It is valid for submission on a claim.
Risk adjustment
H02.811 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
H02.811 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57068Billing and Coding: Ocular Photography - External
- A57637Billing and Coding: Visual Field Examination
How H02.811 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 H02.811.
- Foreign body›retained›eyelid›right›upper
Related codes at this level
Codes that share H02.81. If H02.811 is not quite right, the correct code is usually one of these.
- H02.812Retained foreign body in right lower eyelid
- H02.813Retained foreign body in right eye, unspecified eyelid
- H02.814Retained foreign body in left upper eyelid
- H02.815Retained foreign body in left lower eyelid
- H02.816Retained foreign body in left eye, unspecified eyelid
- H02.819Retained foreign body in unspecified eye, unspecified eyelid
Questions about H02.811
- Is H02.811 a billable ICD-10-CM code?
- Yes. H02.811 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.811 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).