H57.813
H57.813 — Brow ptosis, bilateral
Billable / specific codeICD-10-CMbilateral
H57.813 is a billable, specific ICD-10-CM code for brow ptosis, bilateral. It is valid for submission on a claim.
Risk adjustment
H57.813 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
H57.813 is named in 9 Medicare coverage policies — 9 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
Related codes at this level
Codes that share H57.81. If H57.813 is not quite right, the correct code is usually one of these.
Questions about H57.813
- Is H57.813 a billable ICD-10-CM code?
- Yes. H57.813 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H57.813 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Other disorders of eye and adnexa (H55-H57).