ICD-10 · PDGM grouping
H02 Other disorders of eyelid
All 259 codes in the H02 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
259
Can lead a claim
157
Cannot lead a claim
102
What CMS assigns to H02
157 of the 259 codes group to MMTA - Other; 102 are assigned no clinical group. None of the 259 is assigned a comorbidity subgroup. 157 of the 259 can lead a claim.
Every code in H02
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H02.0 Entropion and trichiasis of eyelid | ||||
| H02.00 Unspecified entropion of eyelid | ||||
| H02.001 | Unspecified entropion of right upper eyelid | Can lead a claim | A | None |
| H02.002 | Unspecified entropion of right lower eyelid | Can lead a claim | A | None |
| H02.003 | Unspecified entropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.004 | Unspecified entropion of left upper eyelid | Can lead a claim | A | None |
| H02.005 | Unspecified entropion of left lower eyelid | Can lead a claim | A | None |
| H02.006 | Unspecified entropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.009 | Unspecified entropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.01 Cicatricial entropion of eyelid | ||||
| H02.011 | Cicatricial entropion of right upper eyelid | Can lead a claim | A | None |
| H02.012 | Cicatricial entropion of right lower eyelid | Can lead a claim | A | None |
| H02.013 | Cicatricial entropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.014 | Cicatricial entropion of left upper eyelid | Can lead a claim | A | None |
| H02.015 | Cicatricial entropion of left lower eyelid | Can lead a claim | A | None |
| H02.016 | Cicatricial entropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.019 | Cicatricial entropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.02 Mechanical entropion of eyelid | ||||
| H02.021 | Mechanical entropion of right upper eyelid | Can lead a claim | A | None |
| H02.022 | Mechanical entropion of right lower eyelid | Can lead a claim | A | None |
| H02.023 | Mechanical entropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.024 | Mechanical entropion of left upper eyelid | Can lead a claim | A | None |
| H02.025 | Mechanical entropion of left lower eyelid | Can lead a claim | A | None |
| H02.026 | Mechanical entropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.029 | Mechanical entropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.03 Senile entropion of eyelid | ||||
| H02.031 | Senile entropion of right upper eyelid | Can lead a claim | A | None |
| H02.032 | Senile entropion of right lower eyelid | Can lead a claim | A | None |
| H02.033 | Senile entropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.034 | Senile entropion of left upper eyelid | Can lead a claim | A | None |
| H02.035 | Senile entropion of left lower eyelid | Can lead a claim | A | None |
| H02.036 | Senile entropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.039 | Senile entropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.04 Spastic entropion of eyelid | ||||
| H02.041 | Spastic entropion of right upper eyelid | Can lead a claim | A | None |
| H02.042 | Spastic entropion of right lower eyelid | Can lead a claim | A | None |
| H02.043 | Spastic entropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.044 | Spastic entropion of left upper eyelid | Can lead a claim | A | None |
| H02.045 | Spastic entropion of left lower eyelid | Can lead a claim | A | None |
| H02.046 | Spastic entropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.049 | Spastic entropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.05 Trichiasis without entropion | ||||
| H02.051 | Trichiasis without entropion right upper eyelid | Can lead a claim | A | None |
| H02.052 | Trichiasis without entropion right lower eyelid | Can lead a claim | A | None |
| H02.053 | Trichiasis without entropion right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.054 | Trichiasis without entropion left upper eyelid | Can lead a claim | A | None |
| H02.055 | Trichiasis without entropion left lower eyelid | Can lead a claim | A | None |
| H02.056 | Trichiasis without entropion left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.059 | Trichiasis without entropion unspecified eye, unspecified eyelidCMS: Trichiasis without entropion unsp, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.1 Ectropion of eyelid | ||||
| H02.10 Unspecified ectropion of eyelid | ||||
| H02.101 | Unspecified ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.102 | Unspecified ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.103 | Unspecified ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.104 | Unspecified ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.105 | Unspecified ectropion of left lower eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.106 | Unspecified ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.109 | Unspecified ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.11 Cicatricial ectropion of eyelid | ||||
| H02.111 | Cicatricial ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.112 | Cicatricial ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.113 | Cicatricial ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.114 | Cicatricial ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.115 | Cicatricial ectropion of left lower eyelid | Can lead a claim | A | None |
| H02.116 | Cicatricial ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.119 | Cicatricial ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.12 Mechanical ectropion of eyelid | ||||
| H02.121 | Mechanical ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.122 | Mechanical ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.123 | Mechanical ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.124 | Mechanical ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.125 | Mechanical ectropion of left lower eyelid | Can lead a claim | A | None |
| H02.126 | Mechanical ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.129 | Mechanical ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.13 Senile ectropion of eyelid | ||||
| H02.131 | Senile ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.132 | Senile ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.133 | Senile ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.134 | Senile ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.135 | Senile ectropion of left lower eyelid | Can lead a claim | A | None |
| H02.136 | Senile ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.139 | Senile ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.14 Spastic ectropion of eyelid | ||||
| H02.141 | Spastic ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.142 | Spastic ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.143 | Spastic ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.144 | Spastic ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.145 | Spastic ectropion of left lower eyelid | Can lead a claim | A | None |
| H02.146 | Spastic ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.149 | Spastic ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.15 Paralytic ectropion of eyelid | ||||
| H02.151 | Paralytic ectropion of right upper eyelid | Can lead a claim | A | None |
| H02.152 | Paralytic ectropion of right lower eyelid | Can lead a claim | A | None |
| H02.153 | Paralytic ectropion of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.154 | Paralytic ectropion of left upper eyelid | Can lead a claim | A | None |
| H02.155 | Paralytic ectropion of left lower eyelid | Can lead a claim | A | None |
| H02.156 | Paralytic ectropion of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.159 | Paralytic ectropion of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.2 Lagophthalmos | ||||
| H02.20 Unspecified lagophthalmos | ||||
| H02.201 | Unspecified lagophthalmos right upper eyelid | Can lead a claim | A | None |
| H02.202 | Unspecified lagophthalmos right lower eyelid | Can lead a claim | A | None |
| H02.203 | Unspecified lagophthalmos right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.204 | Unspecified lagophthalmos left upper eyelid | Can lead a claim | A | None |
| H02.205 | Unspecified lagophthalmos left lower eyelid | Can lead a claim | A | None |
| H02.206 | Unspecified lagophthalmos left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.209 | Unspecified lagophthalmos unspecified eye, unspecified eyelidCMS: Unsp lagophthalmos unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.20A | Unspecified lagophthalmos right eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.20B | Unspecified lagophthalmos left eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.20C | Unspecified lagophthalmos, bilateral, upper and lower eyelidsCMS: Unsp lagophthalmos, bilateral, upper and lower eyelids | Can lead a claim | A | None |
| H02.21 Cicatricial lagophthalmos | ||||
| H02.211 | Cicatricial lagophthalmos right upper eyelid | Can lead a claim | A | None |
| H02.212 | Cicatricial lagophthalmos right lower eyelid | Can lead a claim | A | None |
| H02.213 | Cicatricial lagophthalmos right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.214 | Cicatricial lagophthalmos left upper eyelid | Can lead a claim | A | None |
| H02.215 | Cicatricial lagophthalmos left lower eyelid | Can lead a claim | A | None |
| H02.216 | Cicatricial lagophthalmos left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.219 | Cicatricial lagophthalmos unspecified eye, unspecified eyelidCMS: Cicatricial lagophthalmos unsp eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.21A | Cicatricial lagophthalmos right eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.21B | Cicatricial lagophthalmos left eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.21C | Cicatricial lagophthalmos, bilateral, upper and lower eyelidsCMS: Cicatricial lagophthalmos, bi, upper and lower eyelids | Can lead a claim | A | None |
| H02.22 Mechanical lagophthalmos | ||||
| H02.221 | Mechanical lagophthalmos right upper eyelid | Can lead a claim | A | None |
| H02.222 | Mechanical lagophthalmos right lower eyelid | Can lead a claim | A | None |
| H02.223 | Mechanical lagophthalmos right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.224 | Mechanical lagophthalmos left upper eyelid | Can lead a claim | A | None |
| H02.225 | Mechanical lagophthalmos left lower eyelid | Can lead a claim | A | None |
| H02.226 | Mechanical lagophthalmos left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.229 | Mechanical lagophthalmos unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.22A | Mechanical lagophthalmos right eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.22B | Mechanical lagophthalmos left eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.22C | Mechanical lagophthalmos, bilateral, upper and lower eyelids | Can lead a claim | A | None |
| H02.23 Paralytic lagophthalmos | ||||
| H02.231 | Paralytic lagophthalmos right upper eyelid | Can lead a claim | A | None |
| H02.232 | Paralytic lagophthalmos right lower eyelid | Can lead a claim | A | None |
| H02.233 | Paralytic lagophthalmos right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.234 | Paralytic lagophthalmos left upper eyelid | Can lead a claim | A | None |
| H02.235 | Paralytic lagophthalmos left lower eyelid | Can lead a claim | A | None |
| H02.236 | Paralytic lagophthalmos left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.239 | Paralytic lagophthalmos unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.23A | Paralytic lagophthalmos right eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.23B | Paralytic lagophthalmos left eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.23C | Paralytic lagophthalmos, bilateral, upper and lower eyelids | Can lead a claim | A | None |
| H02.3 Blepharochalasis | ||||
| H02.30 | Blepharochalasis unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.31 | Blepharochalasis right upper eyelid | Can lead a claim | A | None |
| H02.32 | Blepharochalasis right lower eyelid | Can lead a claim | A | None |
| H02.33 | Blepharochalasis right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.34 | Blepharochalasis left upper eyelid | Can lead a claim | A | None |
| H02.35 | Blepharochalasis left lower eyelid | Can lead a claim | A | None |
| H02.36 | Blepharochalasis left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.4 Ptosis of eyelid | ||||
| H02.40 Unspecified ptosis of eyelid | ||||
| H02.401 | Unspecified ptosis of right eyelid | Can lead a claim | A | None |
| H02.402 | Unspecified ptosis of left eyelid | Can lead a claim | A | None |
| H02.403 | Unspecified ptosis of bilateral eyelids | Can lead a claim | A | None |
| H02.409 | Unspecified ptosis of unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.41 Mechanical ptosis of eyelid | ||||
| H02.411 | Mechanical ptosis of right eyelid | Can lead a claim | A | None |
| H02.412 | Mechanical ptosis of left eyelid | Can lead a claim | A | None |
| H02.413 | Mechanical ptosis of bilateral eyelids | Can lead a claim | A | None |
| H02.419 | Mechanical ptosis of unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.42 Myogenic ptosis of eyelid | ||||
| H02.421 | Myogenic ptosis of right eyelid | Can lead a claim | A | None |
| H02.422 | Myogenic ptosis of left eyelid | Can lead a claim | A | None |
| H02.423 | Myogenic ptosis of bilateral eyelids | Can lead a claim | A | None |
| H02.429 | Myogenic ptosis of unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.43 Paralytic ptosis of eyelid | ||||
| H02.431 | Paralytic ptosis of right eyelid | Can lead a claim | A | None |
| H02.432 | Paralytic ptosis of left eyelid | Can lead a claim | A | None |
| H02.433 | Paralytic ptosis of bilateral eyelids | Can lead a claim | A | None |
| H02.439 | Paralytic ptosis unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.5 Other disorders affecting eyelid function | ||||
| H02.51 Abnormal innervation syndrome | ||||
| H02.511 | Abnormal innervation syndrome right upper eyelid | Can lead a claim | A | None |
| H02.512 | Abnormal innervation syndrome right lower eyelid | Can lead a claim | A | None |
| H02.513 | Abnormal innervation syndrome right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.514 | Abnormal innervation syndrome left upper eyelid | Can lead a claim | A | None |
| H02.515 | Abnormal innervation syndrome left lower eyelid | Can lead a claim | A | None |
| H02.516 | Abnormal innervation syndrome left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.519 | Abnormal innervation syndrome unspecified eye, unspecified eyelidCMS: Abnormal innervation syndrome unsp eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.52 Blepharophimosis | ||||
| H02.521 | Blepharophimosis right upper eyelid | Can lead a claim | A | None |
| H02.522 | Blepharophimosis right lower eyelid | Can lead a claim | A | None |
| H02.523 | Blepharophimosis right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.524 | Blepharophimosis left upper eyelid | Can lead a claim | A | None |
| H02.525 | Blepharophimosis left lower eyelid | Can lead a claim | A | None |
| H02.526 | Blepharophimosis left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.529 | Blepharophimosis unspecified eye, unspecified lid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.53 Eyelid retraction | ||||
| H02.531 | Eyelid retraction right upper eyelid | Can lead a claim | A | None |
| H02.532 | Eyelid retraction right lower eyelid | Can lead a claim | A | None |
| H02.533 | Eyelid retraction right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.534 | Eyelid retraction left upper eyelid | Can lead a claim | A | None |
| H02.535 | Eyelid retraction left lower eyelid | Can lead a claim | A | None |
| H02.536 | Eyelid retraction left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.539 | Eyelid retraction unspecified eye, unspecified lid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.59 | Other disorders affecting eyelid function | Can lead a claim | A | None |
| H02.6 Xanthelasma of eyelid | ||||
| H02.60 | Xanthelasma of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.61 | Xanthelasma of right upper eyelid | Can lead a claim | A | None |
| H02.62 | Xanthelasma of right lower eyelid | Can lead a claim | A | None |
| H02.63 | Xanthelasma of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.64 | Xanthelasma of left upper eyelid | Can lead a claim | A | None |
| H02.65 | Xanthelasma of left lower eyelid | Can lead a claim | A | None |
| H02.66 | Xanthelasma of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.7 Other and unspecified degenerative disorders of eyelid and periocular area | ||||
| H02.70 | Unspecified degenerative disorders of eyelid and periocular areaCMS: Unsp degenerative disorders of eyelid and periocular area | Can lead a claim | A | None |
| H02.71 Chloasma of eyelid and periocular area | ||||
| H02.711 | Chloasma of right upper eyelid and periocular area | Can lead a claim | A | None |
| H02.712 | Chloasma of right lower eyelid and periocular area | Can lead a claim | A | None |
| H02.713 | Chloasma of right eye, unspecified eyelid and periocular areaCMS: Chloasma of right eye, unsp eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.714 | Chloasma of left upper eyelid and periocular area | Can lead a claim | A | None |
| H02.715 | Chloasma of left lower eyelid and periocular area | Can lead a claim | A | None |
| H02.716 | Chloasma of left eye, unspecified eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.719 | Chloasma of unspecified eye, unspecified eyelid and periocular areaCMS: Chloasma of unsp eye, unspecified eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.72 Madarosis of eyelid and periocular area | ||||
| H02.721 | Madarosis of right upper eyelid and periocular area | Can lead a claim | A | None |
| H02.722 | Madarosis of right lower eyelid and periocular area | Can lead a claim | A | None |
| H02.723 | Madarosis of right eye, unspecified eyelid and periocular areaCMS: Madarosis of right eye, unsp eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.724 | Madarosis of left upper eyelid and periocular area | Can lead a claim | A | None |
| H02.725 | Madarosis of left lower eyelid and periocular area | Can lead a claim | A | None |
| H02.726 | Madarosis of left eye, unspecified eyelid and periocular areaCMS: Madarosis of left eye, unsp eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.729 | Madarosis of unspecified eye, unspecified eyelid and periocular areaCMS: Madarosis of unsp eye, unsp eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.73 Vitiligo of eyelid and periocular area | ||||
| H02.731 | Vitiligo of right upper eyelid and periocular area | Can lead a claim | A | None |
| H02.732 | Vitiligo of right lower eyelid and periocular area | Can lead a claim | A | None |
| H02.733 | Vitiligo of right eye, unspecified eyelid and periocular areaCMS: Vitiligo of right eye, unsp eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.734 | Vitiligo of left upper eyelid and periocular area | Can lead a claim | A | None |
| H02.735 | Vitiligo of left lower eyelid and periocular area | Can lead a claim | A | None |
| H02.736 | Vitiligo of left eye, unspecified eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.739 | Vitiligo of unspecified eye, unspecified eyelid and periocular areaCMS: Vitiligo of unsp eye, unspecified eyelid and periocular area | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.79 | Other degenerative disorders of eyelid and periocular area | Can lead a claim | A | None |
| H02.8 Other specified disorders of eyelid | ||||
| H02.81 Retained foreign body in eyelid | ||||
| H02.811 | Retained foreign body in right upper eyelid | Can lead a claim | A | None |
| H02.812 | Retained foreign body in right lower eyelid | Can lead a claim | A | None |
| H02.813 | Retained foreign body in right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.814 | Retained foreign body in left upper eyelid | Can lead a claim | A | None |
| H02.815 | Retained foreign body in left lower eyelid | Can lead a claim | A | None |
| H02.816 | Retained foreign body in left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.819 | Retained foreign body in unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.82 Cysts of eyelid | ||||
| H02.821 | Cysts of right upper eyelid | Can lead a claim | A | None |
| H02.822 | Cysts of right lower eyelid | Can lead a claim | A | None |
| H02.823 | Cysts of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.824 | Cysts of left upper eyelid | Can lead a claim | A | None |
| H02.825 | Cysts of left lower eyelid | Can lead a claim | A | None |
| H02.826 | Cysts of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.829 | Cysts of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.83 Dermatochalasis of eyelid | ||||
| H02.831 | Dermatochalasis of right upper eyelid | Can lead a claim | A | None |
| H02.832 | Dermatochalasis of right lower eyelid | Can lead a claim | A | None |
| H02.833 | Dermatochalasis of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.834 | Dermatochalasis of left upper eyelid | Can lead a claim | A | None |
| H02.835 | Dermatochalasis of left lower eyelid | Can lead a claim | A | None |
| H02.836 | Dermatochalasis of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.839 | Dermatochalasis of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.84 Edema of eyelid | ||||
| H02.841 | Edema of right upper eyelid | Can lead a claim | A | None |
| H02.842 | Edema of right lower eyelid | Can lead a claim | A | None |
| H02.843 | Edema of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.844 | Edema of left upper eyelid | Can lead a claim | A | None |
| H02.845 | Edema of left lower eyelid | Can lead a claim | A | None |
| H02.846 | Edema of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.849 | Edema of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.85 Elephantiasis of eyelid | ||||
| H02.851 | Elephantiasis of right upper eyelid | Can lead a claim | A | None |
| H02.852 | Elephantiasis of right lower eyelid | Can lead a claim | A | None |
| H02.853 | Elephantiasis of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.854 | Elephantiasis of left upper eyelid | Can lead a claim | A | None |
| H02.855 | Elephantiasis of left lower eyelid | Can lead a claim | A | None |
| H02.856 | Elephantiasis of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.859 | Elephantiasis of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.86 Hypertrichosis of eyelid | ||||
| H02.861 | Hypertrichosis of right upper eyelid | Can lead a claim | A | None |
| H02.862 | Hypertrichosis of right lower eyelid | Can lead a claim | A | None |
| H02.863 | Hypertrichosis of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.864 | Hypertrichosis of left upper eyelid | Can lead a claim | A | None |
| H02.865 | Hypertrichosis of left lower eyelid | Can lead a claim | A | None |
| H02.866 | Hypertrichosis of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.869 | Hypertrichosis of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.87 Vascular anomalies of eyelid | ||||
| H02.871 | Vascular anomalies of right upper eyelid | Can lead a claim | A | None |
| H02.872 | Vascular anomalies of right lower eyelid | Can lead a claim | A | None |
| H02.873 | Vascular anomalies of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.874 | Vascular anomalies of left upper eyelid | Can lead a claim | A | None |
| H02.875 | Vascular anomalies of left lower eyelid | Can lead a claim | A | None |
| H02.876 | Vascular anomalies of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.879 | Vascular anomalies of unspecified eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.88 Meibomian gland dysfunction of eyelid | ||||
| H02.881 | Meibomian gland dysfunction right upper eyelid | Can lead a claim | A | None |
| H02.882 | Meibomian gland dysfunction right lower eyelid | Can lead a claim | A | None |
| H02.883 | Meibomian gland dysfunction of right eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.884 | Meibomian gland dysfunction left upper eyelid | Can lead a claim | A | None |
| H02.885 | Meibomian gland dysfunction left lower eyelid | Can lead a claim | A | None |
| H02.886 | Meibomian gland dysfunction of left eye, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.889 | Meibomian gland dysfunction of unspecified eye, unspecified eyelidCMS: Meibomian gland dysfunction of unsp, unspecified eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H02.88A | Meibomian gland dysfunction right eye, upper and lower eyelidsCMS: Meibomian gland dysfnct right eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.88B | Meibomian gland dysfunction left eye, upper and lower eyelidsCMS: Meibomian gland dysfnct left eye, upper and lower eyelids | Can lead a claim | A | None |
| H02.89 | Other specified disorders of eyelid | Can lead a claim | A | None |
| H02.9 | Unspecified disorder of eyelid | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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