ICD-10 · PDGM grouping
H00-H05 — Disorders of eyelid, lacrimal system and orbit
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
574
No clinical group
193
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
381 of the 574 codes in H00-H05 group to MMTA - Other. A further 193 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H00-H05
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H00-H05
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H00011 | Hordeolum externum right upper eyelid | A | Can lead a claim |
| H00012 | Hordeolum externum right lower eyelid | A | Can lead a claim |
| H00013 | Hordeolum externum right eye, unspecified eyelid | None | Cannot lead a claim |
| H00014 | Hordeolum externum left upper eyelid | A | Can lead a claim |
| H00015 | Hordeolum externum left lower eyelid | A | Can lead a claim |
| H00016 | Hordeolum externum left eye, unspecified eyelid | None | Cannot lead a claim |
| H00019 | Hordeolum externum unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H00021 | Hordeolum internum right upper eyelid | A | Can lead a claim |
| H00022 | Hordeolum internum right lower eyelid | A | Can lead a claim |
| H00023 | Hordeolum internum right eye, unspecified eyelid | None | Cannot lead a claim |
| H00024 | Hordeolum internum left upper eyelid | A | Can lead a claim |
| H00025 | Hordeolum internum left lower eyelid | A | Can lead a claim |
| H00026 | Hordeolum internum left eye, unspecified eyelid | None | Cannot lead a claim |
| H00029 | Hordeolum internum unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H00031 | Abscess of right upper eyelid | A | Can lead a claim |
| H00032 | Abscess of right lower eyelid | A | Can lead a claim |
| H00033 | Abscess of eyelid right eye, unspecified eyelid | None | Cannot lead a claim |
| H00034 | Abscess of left upper eyelid | A | Can lead a claim |
| H00035 | Abscess of left lower eyelid | A | Can lead a claim |
| H00036 | Abscess of eyelid left eye, unspecified eyelid | None | Cannot lead a claim |
| H00039 | Abscess of eyelid unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0011 | Chalazion right upper eyelid | A | Can lead a claim |
| H0012 | Chalazion right lower eyelid | A | Can lead a claim |
| H0013 | Chalazion right eye, unspecified eyelid | None | Cannot lead a claim |
| H0014 | Chalazion left upper eyelid | A | Can lead a claim |
| H0015 | Chalazion left lower eyelid | A | Can lead a claim |
| H0016 | Chalazion left eye, unspecified eyelid | None | Cannot lead a claim |
| H0019 | Chalazion unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H01001 | Unspecified blepharitis right upper eyelid | A | Can lead a claim |
| H01002 | Unspecified blepharitis right lower eyelid | A | Can lead a claim |
| H01003 | Unspecified blepharitis right eye, unspecified eyelid | None | Cannot lead a claim |
| H01004 | Unspecified blepharitis left upper eyelid | A | Can lead a claim |
| H01005 | Unspecified blepharitis left lower eyelid | A | Can lead a claim |
| H01006 | Unspecified blepharitis left eye, unspecified eyelid | None | Cannot lead a claim |
| H01009 | Unspecified blepharitis unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0100A | Unspecified blepharitis right eye, upper and lower eyelids | A | Can lead a claim |
| H0100B | Unspecified blepharitis left eye, upper and lower eyelids | A | Can lead a claim |
| H01011 | Ulcerative blepharitis right upper eyelid | A | Can lead a claim |
| H01012 | Ulcerative blepharitis right lower eyelid | A | Can lead a claim |
| H01013 | Ulcerative blepharitis right eye, unspecified eyelid | None | Cannot lead a claim |
| H01014 | Ulcerative blepharitis left upper eyelid | A | Can lead a claim |
| H01015 | Ulcerative blepharitis left lower eyelid | A | Can lead a claim |
| H01016 | Ulcerative blepharitis left eye, unspecified eyelid | None | Cannot lead a claim |
| H01019 | Ulcerative blepharitis unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0101A | Ulcerative blepharitis right eye, upper and lower eyelids | A | Can lead a claim |
| H0101B | Ulcerative blepharitis left eye, upper and lower eyelids | A | Can lead a claim |
| H01021 | Squamous blepharitis right upper eyelid | A | Can lead a claim |
| H01022 | Squamous blepharitis right lower eyelid | A | Can lead a claim |
| H01023 | Squamous blepharitis right eye, unspecified eyelid | None | Cannot lead a claim |
| H01024 | Squamous blepharitis left upper eyelid | A | Can lead a claim |
| H01025 | Squamous blepharitis left lower eyelid | A | Can lead a claim |
| H01026 | Squamous blepharitis left eye, unspecified eyelid | None | Cannot lead a claim |
| H01029 | Squamous blepharitis unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0102A | Squamous blepharitis right eye, upper and lower eyelids | A | Can lead a claim |
| H0102B | Squamous blepharitis left eye, upper and lower eyelids | A | Can lead a claim |
| H01111 | Allergic dermatitis of right upper eyelid | A | Can lead a claim |
| H01112 | Allergic dermatitis of right lower eyelid | A | Can lead a claim |
| H01113 | Allergic dermatitis of right eye, unspecified eyelid | None | Cannot lead a claim |
| H01114 | Allergic dermatitis of left upper eyelid | A | Can lead a claim |
| H01115 | Allergic dermatitis of left lower eyelid | A | Can lead a claim |
| H01116 | Allergic dermatitis of left eye, unspecified eyelid | None | Cannot lead a claim |
| H01119 | Allergic dermatitis of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H01121 | Discoid lupus erythematosus of right upper eyelid | A | Can lead a claim |
| H01122 | Discoid lupus erythematosus of right lower eyelid | A | Can lead a claim |
| H01123 | Discoid lupus erythematosus of right eye, unspecified eyelid | None | Cannot lead a claim |
| H01124 | Discoid lupus erythematosus of left upper eyelid | A | Can lead a claim |
| H01125 | Discoid lupus erythematosus of left lower eyelid | A | Can lead a claim |
| H01126 | Discoid lupus erythematosus of left eye, unspecified eyelid | None | Cannot lead a claim |
| H01129 | Discoid lupus erythematosus of unsp eye, unspecified eyelid | None | Cannot lead a claim |
| H01131 | Eczematous dermatitis of right upper eyelid | A | Can lead a claim |
| H01132 | Eczematous dermatitis of right lower eyelid | A | Can lead a claim |
| H01133 | Eczematous dermatitis of right eye, unspecified eyelid | None | Cannot lead a claim |
| H01134 | Eczematous dermatitis of left upper eyelid | A | Can lead a claim |
| H01135 | Eczematous dermatitis of left lower eyelid | A | Can lead a claim |
| H01136 | Eczematous dermatitis of left eye, unspecified eyelid | None | Cannot lead a claim |
| H01139 | Eczematous dermatitis of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H01141 | Xeroderma of right upper eyelid | A | Can lead a claim |
| H01142 | Xeroderma of right lower eyelid | A | Can lead a claim |
| H01143 | Xeroderma of right eye, unspecified eyelid | None | Cannot lead a claim |
| H01144 | Xeroderma of left upper eyelid | A | Can lead a claim |
| H01145 | Xeroderma of left lower eyelid | A | Can lead a claim |
| H01146 | Xeroderma of left eye, unspecified eyelid | None | Cannot lead a claim |
| H01149 | Xeroderma of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0181 | Other specified inflammation of right upper eyelid | A | Can lead a claim |
| H0182 | Other specified inflammation of right lower eyelid | A | Can lead a claim |
| H0183 | Oth inflammation of right eye, unspecified eyelid | A | Can lead a claim |
| H0184 | Other specified inflammation of left upper eyelid | A | Can lead a claim |
| H0185 | Other specified inflammation of left lower eyelid | A | Can lead a claim |
| H0186 | Other specified inflammation of left eye, unspecified eyelid | A | Can lead a claim |
| H0189 | Oth inflammation of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H018A | Oth inflammation of right eye, upper and lower eyelids | A | Can lead a claim |
| H018B | Oth inflammation of left eye, upper and lower eyelids | A | Can lead a claim |
| H019 | Unspecified inflammation of eyelid | None | Cannot lead a claim |
| H02001 | Unspecified entropion of right upper eyelid | A | Can lead a claim |
| H02002 | Unspecified entropion of right lower eyelid | A | Can lead a claim |
| H02003 | Unspecified entropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02004 | Unspecified entropion of left upper eyelid | A | Can lead a claim |
| H02005 | Unspecified entropion of left lower eyelid | A | Can lead a claim |
| H02006 | Unspecified entropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02009 | Unspecified entropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02011 | Cicatricial entropion of right upper eyelid | A | Can lead a claim |
| H02012 | Cicatricial entropion of right lower eyelid | A | Can lead a claim |
| H02013 | Cicatricial entropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02014 | Cicatricial entropion of left upper eyelid | A | Can lead a claim |
| H02015 | Cicatricial entropion of left lower eyelid | A | Can lead a claim |
| H02016 | Cicatricial entropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02019 | Cicatricial entropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02021 | Mechanical entropion of right upper eyelid | A | Can lead a claim |
| H02022 | Mechanical entropion of right lower eyelid | A | Can lead a claim |
| H02023 | Mechanical entropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02024 | Mechanical entropion of left upper eyelid | A | Can lead a claim |
| H02025 | Mechanical entropion of left lower eyelid | A | Can lead a claim |
| H02026 | Mechanical entropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02029 | Mechanical entropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02031 | Senile entropion of right upper eyelid | A | Can lead a claim |
| H02032 | Senile entropion of right lower eyelid | A | Can lead a claim |
| H02033 | Senile entropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02034 | Senile entropion of left upper eyelid | A | Can lead a claim |
| H02035 | Senile entropion of left lower eyelid | A | Can lead a claim |
| H02036 | Senile entropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02039 | Senile entropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02041 | Spastic entropion of right upper eyelid | A | Can lead a claim |
| H02042 | Spastic entropion of right lower eyelid | A | Can lead a claim |
| H02043 | Spastic entropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02044 | Spastic entropion of left upper eyelid | A | Can lead a claim |
| H02045 | Spastic entropion of left lower eyelid | A | Can lead a claim |
| H02046 | Spastic entropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02049 | Spastic entropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02051 | Trichiasis without entropion right upper eyelid | A | Can lead a claim |
| H02052 | Trichiasis without entropion right lower eyelid | A | Can lead a claim |
| H02053 | Trichiasis without entropion right eye, unspecified eyelid | None | Cannot lead a claim |
| H02054 | Trichiasis without entropion left upper eyelid | A | Can lead a claim |
| H02055 | Trichiasis without entropion left lower eyelid | A | Can lead a claim |
| H02056 | Trichiasis without entropion left eye, unspecified eyelid | None | Cannot lead a claim |
| H02059 | Trichiasis without entropion unsp, unspecified eyelid | None | Cannot lead a claim |
| H02101 | Unspecified ectropion of right upper eyelid | A | Can lead a claim |
| H02102 | Unspecified ectropion of right lower eyelid | A | Can lead a claim |
| H02103 | Unspecified ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02104 | Unspecified ectropion of left upper eyelid | A | Can lead a claim |
| H02105 | Unspecified ectropion of left lower eyelid | None | Cannot lead a claim |
| H02106 | Unspecified ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02109 | Unspecified ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02111 | Cicatricial ectropion of right upper eyelid | A | Can lead a claim |
| H02112 | Cicatricial ectropion of right lower eyelid | A | Can lead a claim |
| H02113 | Cicatricial ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02114 | Cicatricial ectropion of left upper eyelid | A | Can lead a claim |
| H02115 | Cicatricial ectropion of left lower eyelid | A | Can lead a claim |
| H02116 | Cicatricial ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02119 | Cicatricial ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02121 | Mechanical ectropion of right upper eyelid | A | Can lead a claim |
| H02122 | Mechanical ectropion of right lower eyelid | A | Can lead a claim |
| H02123 | Mechanical ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02124 | Mechanical ectropion of left upper eyelid | A | Can lead a claim |
| H02125 | Mechanical ectropion of left lower eyelid | A | Can lead a claim |
| H02126 | Mechanical ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02129 | Mechanical ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02131 | Senile ectropion of right upper eyelid | A | Can lead a claim |
| H02132 | Senile ectropion of right lower eyelid | A | Can lead a claim |
| H02133 | Senile ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02134 | Senile ectropion of left upper eyelid | A | Can lead a claim |
| H02135 | Senile ectropion of left lower eyelid | A | Can lead a claim |
| H02136 | Senile ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02139 | Senile ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02141 | Spastic ectropion of right upper eyelid | A | Can lead a claim |
| H02142 | Spastic ectropion of right lower eyelid | A | Can lead a claim |
| H02143 | Spastic ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02144 | Spastic ectropion of left upper eyelid | A | Can lead a claim |
| H02145 | Spastic ectropion of left lower eyelid | A | Can lead a claim |
| H02146 | Spastic ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02149 | Spastic ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02151 | Paralytic ectropion of right upper eyelid | A | Can lead a claim |
| H02152 | Paralytic ectropion of right lower eyelid | A | Can lead a claim |
| H02153 | Paralytic ectropion of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02154 | Paralytic ectropion of left upper eyelid | A | Can lead a claim |
| H02155 | Paralytic ectropion of left lower eyelid | A | Can lead a claim |
| H02156 | Paralytic ectropion of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02159 | Paralytic ectropion of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02201 | Unspecified lagophthalmos right upper eyelid | A | Can lead a claim |
| H02202 | Unspecified lagophthalmos right lower eyelid | A | Can lead a claim |
| H02203 | Unspecified lagophthalmos right eye, unspecified eyelid | None | Cannot lead a claim |
| H02204 | Unspecified lagophthalmos left upper eyelid | A | Can lead a claim |
| H02205 | Unspecified lagophthalmos left lower eyelid | A | Can lead a claim |
| H02206 | Unspecified lagophthalmos left eye, unspecified eyelid | None | Cannot lead a claim |
| H02209 | Unsp lagophthalmos unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0220A | Unspecified lagophthalmos right eye, upper and lower eyelids | A | Can lead a claim |
| H0220B | Unspecified lagophthalmos left eye, upper and lower eyelids | A | Can lead a claim |
| H0220C | Unsp lagophthalmos, bilateral, upper and lower eyelids | A | Can lead a claim |
| H02211 | Cicatricial lagophthalmos right upper eyelid | A | Can lead a claim |
| H02212 | Cicatricial lagophthalmos right lower eyelid | A | Can lead a claim |
| H02213 | Cicatricial lagophthalmos right eye, unspecified eyelid | None | Cannot lead a claim |
| H02214 | Cicatricial lagophthalmos left upper eyelid | A | Can lead a claim |
| H02215 | Cicatricial lagophthalmos left lower eyelid | A | Can lead a claim |
| H02216 | Cicatricial lagophthalmos left eye, unspecified eyelid | None | Cannot lead a claim |
| H02219 | Cicatricial lagophthalmos unsp eye, unspecified eyelid | None | Cannot lead a claim |
| H0221A | Cicatricial lagophthalmos right eye, upper and lower eyelids | A | Can lead a claim |
| H0221B | Cicatricial lagophthalmos left eye, upper and lower eyelids | A | Can lead a claim |
| H0221C | Cicatricial lagophthalmos, bi, upper and lower eyelids | A | Can lead a claim |
| H02221 | Mechanical lagophthalmos right upper eyelid | A | Can lead a claim |
| H02222 | Mechanical lagophthalmos right lower eyelid | A | Can lead a claim |
| H02223 | Mechanical lagophthalmos right eye, unspecified eyelid | None | Cannot lead a claim |
| H02224 | Mechanical lagophthalmos left upper eyelid | A | Can lead a claim |
| H02225 | Mechanical lagophthalmos left lower eyelid | A | Can lead a claim |
| H02226 | Mechanical lagophthalmos left eye, unspecified eyelid | None | Cannot lead a claim |
| H02229 | Mechanical lagophthalmos unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0222A | Mechanical lagophthalmos right eye, upper and lower eyelids | A | Can lead a claim |
| H0222B | Mechanical lagophthalmos left eye, upper and lower eyelids | A | Can lead a claim |
| H0222C | Mechanical lagophthalmos, bilateral, upper and lower eyelids | A | Can lead a claim |
| H02231 | Paralytic lagophthalmos right upper eyelid | A | Can lead a claim |
| H02232 | Paralytic lagophthalmos right lower eyelid | A | Can lead a claim |
| H02233 | Paralytic lagophthalmos right eye, unspecified eyelid | None | Cannot lead a claim |
| H02234 | Paralytic lagophthalmos left upper eyelid | A | Can lead a claim |
| H02235 | Paralytic lagophthalmos left lower eyelid | A | Can lead a claim |
| H02236 | Paralytic lagophthalmos left eye, unspecified eyelid | None | Cannot lead a claim |
| H02239 | Paralytic lagophthalmos unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0223A | Paralytic lagophthalmos right eye, upper and lower eyelids | A | Can lead a claim |
| H0223B | Paralytic lagophthalmos left eye, upper and lower eyelids | A | Can lead a claim |
| H0223C | Paralytic lagophthalmos, bilateral, upper and lower eyelids | A | Can lead a claim |
| H0230 | Blepharochalasis unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0231 | Blepharochalasis right upper eyelid | A | Can lead a claim |
| H0232 | Blepharochalasis right lower eyelid | A | Can lead a claim |
| H0233 | Blepharochalasis right eye, unspecified eyelid | None | Cannot lead a claim |
| H0234 | Blepharochalasis left upper eyelid | A | Can lead a claim |
| H0235 | Blepharochalasis left lower eyelid | A | Can lead a claim |
| H0236 | Blepharochalasis left eye, unspecified eyelid | None | Cannot lead a claim |
| H02401 | Unspecified ptosis of right eyelid | A | Can lead a claim |
| H02402 | Unspecified ptosis of left eyelid | A | Can lead a claim |
| H02403 | Unspecified ptosis of bilateral eyelids | A | Can lead a claim |
| H02409 | Unspecified ptosis of unspecified eyelid | None | Cannot lead a claim |
| H02411 | Mechanical ptosis of right eyelid | A | Can lead a claim |
| H02412 | Mechanical ptosis of left eyelid | A | Can lead a claim |
| H02413 | Mechanical ptosis of bilateral eyelids | A | Can lead a claim |
| H02419 | Mechanical ptosis of unspecified eyelid | None | Cannot lead a claim |
| H02421 | Myogenic ptosis of right eyelid | A | Can lead a claim |
| H02422 | Myogenic ptosis of left eyelid | A | Can lead a claim |
| H02423 | Myogenic ptosis of bilateral eyelids | A | Can lead a claim |
| H02429 | Myogenic ptosis of unspecified eyelid | None | Cannot lead a claim |
| H02431 | Paralytic ptosis of right eyelid | A | Can lead a claim |
| H02432 | Paralytic ptosis of left eyelid | A | Can lead a claim |
| H02433 | Paralytic ptosis of bilateral eyelids | A | Can lead a claim |
| H02439 | Paralytic ptosis unspecified eyelid | None | Cannot lead a claim |
| H02511 | Abnormal innervation syndrome right upper eyelid | A | Can lead a claim |
| H02512 | Abnormal innervation syndrome right lower eyelid | A | Can lead a claim |
| H02513 | Abnormal innervation syndrome right eye, unspecified eyelid | None | Cannot lead a claim |
| H02514 | Abnormal innervation syndrome left upper eyelid | A | Can lead a claim |
| H02515 | Abnormal innervation syndrome left lower eyelid | A | Can lead a claim |
| H02516 | Abnormal innervation syndrome left eye, unspecified eyelid | None | Cannot lead a claim |
| H02519 | Abnormal innervation syndrome unsp eye, unspecified eyelid | None | Cannot lead a claim |
| H02521 | Blepharophimosis right upper eyelid | A | Can lead a claim |
| H02522 | Blepharophimosis right lower eyelid | A | Can lead a claim |
| H02523 | Blepharophimosis right eye, unspecified eyelid | None | Cannot lead a claim |
| H02524 | Blepharophimosis left upper eyelid | A | Can lead a claim |
| H02525 | Blepharophimosis left lower eyelid | A | Can lead a claim |
| H02526 | Blepharophimosis left eye, unspecified eyelid | None | Cannot lead a claim |
| H02529 | Blepharophimosis unspecified eye, unspecified lid | None | Cannot lead a claim |
| H02531 | Eyelid retraction right upper eyelid | A | Can lead a claim |
| H02532 | Eyelid retraction right lower eyelid | A | Can lead a claim |
| H02533 | Eyelid retraction right eye, unspecified eyelid | None | Cannot lead a claim |
| H02534 | Eyelid retraction left upper eyelid | A | Can lead a claim |
| H02535 | Eyelid retraction left lower eyelid | A | Can lead a claim |
| H02536 | Eyelid retraction left eye, unspecified eyelid | None | Cannot lead a claim |
| H02539 | Eyelid retraction unspecified eye, unspecified lid | None | Cannot lead a claim |
| H0259 | Other disorders affecting eyelid function | A | Can lead a claim |
| H0260 | Xanthelasma of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H0261 | Xanthelasma of right upper eyelid | A | Can lead a claim |
| H0262 | Xanthelasma of right lower eyelid | A | Can lead a claim |
| H0263 | Xanthelasma of right eye, unspecified eyelid | None | Cannot lead a claim |
| H0264 | Xanthelasma of left upper eyelid | A | Can lead a claim |
| H0265 | Xanthelasma of left lower eyelid | A | Can lead a claim |
| H0266 | Xanthelasma of left eye, unspecified eyelid | None | Cannot lead a claim |
| H0270 | Unsp degenerative disorders of eyelid and periocular area | A | Can lead a claim |
| H02711 | Chloasma of right upper eyelid and periocular area | A | Can lead a claim |
| H02712 | Chloasma of right lower eyelid and periocular area | A | Can lead a claim |
| H02713 | Chloasma of right eye, unsp eyelid and periocular area | None | Cannot lead a claim |
| H02714 | Chloasma of left upper eyelid and periocular area | A | Can lead a claim |
| H02715 | Chloasma of left lower eyelid and periocular area | A | Can lead a claim |
| H02716 | Chloasma of left eye, unspecified eyelid and periocular area | None | Cannot lead a claim |
| H02719 | Chloasma of unsp eye, unspecified eyelid and periocular area | None | Cannot lead a claim |
| H02721 | Madarosis of right upper eyelid and periocular area | A | Can lead a claim |
| H02722 | Madarosis of right lower eyelid and periocular area | A | Can lead a claim |
| H02723 | Madarosis of right eye, unsp eyelid and periocular area | None | Cannot lead a claim |
| H02724 | Madarosis of left upper eyelid and periocular area | A | Can lead a claim |
| H02725 | Madarosis of left lower eyelid and periocular area | A | Can lead a claim |
| H02726 | Madarosis of left eye, unsp eyelid and periocular area | None | Cannot lead a claim |
| H02729 | Madarosis of unsp eye, unsp eyelid and periocular area | None | Cannot lead a claim |
| H02731 | Vitiligo of right upper eyelid and periocular area | A | Can lead a claim |
| H02732 | Vitiligo of right lower eyelid and periocular area | A | Can lead a claim |
| H02733 | Vitiligo of right eye, unsp eyelid and periocular area | None | Cannot lead a claim |
| H02734 | Vitiligo of left upper eyelid and periocular area | A | Can lead a claim |
| H02735 | Vitiligo of left lower eyelid and periocular area | A | Can lead a claim |
| H02736 | Vitiligo of left eye, unspecified eyelid and periocular area | None | Cannot lead a claim |
| H02739 | Vitiligo of unsp eye, unspecified eyelid and periocular area | None | Cannot lead a claim |
| H0279 | Other degenerative disorders of eyelid and periocular area | A | Can lead a claim |
| H02811 | Retained foreign body in right upper eyelid | A | Can lead a claim |
| H02812 | Retained foreign body in right lower eyelid | A | Can lead a claim |
| H02813 | Retained foreign body in right eye, unspecified eyelid | None | Cannot lead a claim |
| H02814 | Retained foreign body in left upper eyelid | A | Can lead a claim |
| H02815 | Retained foreign body in left lower eyelid | A | Can lead a claim |
| H02816 | Retained foreign body in left eye, unspecified eyelid | None | Cannot lead a claim |
| H02819 | Retained foreign body in unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02821 | Cysts of right upper eyelid | A | Can lead a claim |
| H02822 | Cysts of right lower eyelid | A | Can lead a claim |
| H02823 | Cysts of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02824 | Cysts of left upper eyelid | A | Can lead a claim |
| H02825 | Cysts of left lower eyelid | A | Can lead a claim |
| H02826 | Cysts of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02829 | Cysts of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02831 | Dermatochalasis of right upper eyelid | A | Can lead a claim |
| H02832 | Dermatochalasis of right lower eyelid | A | Can lead a claim |
| H02833 | Dermatochalasis of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02834 | Dermatochalasis of left upper eyelid | A | Can lead a claim |
| H02835 | Dermatochalasis of left lower eyelid | A | Can lead a claim |
| H02836 | Dermatochalasis of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02839 | Dermatochalasis of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02841 | Edema of right upper eyelid | A | Can lead a claim |
| H02842 | Edema of right lower eyelid | A | Can lead a claim |
| H02843 | Edema of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02844 | Edema of left upper eyelid | A | Can lead a claim |
| H02845 | Edema of left lower eyelid | A | Can lead a claim |
| H02846 | Edema of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02849 | Edema of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02851 | Elephantiasis of right upper eyelid | A | Can lead a claim |
| H02852 | Elephantiasis of right lower eyelid | A | Can lead a claim |
| H02853 | Elephantiasis of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02854 | Elephantiasis of left upper eyelid | A | Can lead a claim |
| H02855 | Elephantiasis of left lower eyelid | A | Can lead a claim |
| H02856 | Elephantiasis of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02859 | Elephantiasis of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02861 | Hypertrichosis of right upper eyelid | A | Can lead a claim |
| H02862 | Hypertrichosis of right lower eyelid | A | Can lead a claim |
| H02863 | Hypertrichosis of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02864 | Hypertrichosis of left upper eyelid | A | Can lead a claim |
| H02865 | Hypertrichosis of left lower eyelid | A | Can lead a claim |
| H02866 | Hypertrichosis of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02869 | Hypertrichosis of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02871 | Vascular anomalies of right upper eyelid | A | Can lead a claim |
| H02872 | Vascular anomalies of right lower eyelid | A | Can lead a claim |
| H02873 | Vascular anomalies of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02874 | Vascular anomalies of left upper eyelid | A | Can lead a claim |
| H02875 | Vascular anomalies of left lower eyelid | A | Can lead a claim |
| H02876 | Vascular anomalies of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02879 | Vascular anomalies of unspecified eye, unspecified eyelid | None | Cannot lead a claim |
| H02881 | Meibomian gland dysfunction right upper eyelid | A | Can lead a claim |
| H02882 | Meibomian gland dysfunction right lower eyelid | A | Can lead a claim |
| H02883 | Meibomian gland dysfunction of right eye, unspecified eyelid | None | Cannot lead a claim |
| H02884 | Meibomian gland dysfunction left upper eyelid | A | Can lead a claim |
| H02885 | Meibomian gland dysfunction left lower eyelid | A | Can lead a claim |
| H02886 | Meibomian gland dysfunction of left eye, unspecified eyelid | None | Cannot lead a claim |
| H02889 | Meibomian gland dysfunction of unsp, unspecified eyelid | None | Cannot lead a claim |
| H0288A | Meibomian gland dysfnct right eye, upper and lower eyelids | A | Can lead a claim |
| H0288B | Meibomian gland dysfnct left eye, upper and lower eyelids | A | Can lead a claim |
| H0289 | Other specified disorders of eyelid | A | Can lead a claim |
| H029 | Unspecified disorder of eyelid | None | Cannot lead a claim |
| H04001 | Unspecified dacryoadenitis, right lacrimal gland | A | Can lead a claim |
| H04002 | Unspecified dacryoadenitis, left lacrimal gland | A | Can lead a claim |
| H04003 | Unspecified dacryoadenitis, bilateral lacrimal glands | A | Can lead a claim |
| H04009 | Unspecified dacryoadenitis, unspecified lacrimal gland | None | Cannot lead a claim |
| H04011 | Acute dacryoadenitis, right lacrimal gland | A | Can lead a claim |
| H04012 | Acute dacryoadenitis, left lacrimal gland | A | Can lead a claim |
| H04013 | Acute dacryoadenitis, bilateral lacrimal glands | A | Can lead a claim |
| H04019 | Acute dacryoadenitis, unspecified lacrimal gland | None | Cannot lead a claim |
| H04021 | Chronic dacryoadenitis, right lacrimal gland | A | Can lead a claim |
| H04022 | Chronic dacryoadenitis, left lacrimal gland | A | Can lead a claim |
| H04023 | Chronic dacryoadenitis, bilateral lacrimal gland | A | Can lead a claim |
| H04029 | Chronic dacryoadenitis, unspecified lacrimal gland | None | Cannot lead a claim |
| H04031 | Chronic enlargement of right lacrimal gland | A | Can lead a claim |
| H04032 | Chronic enlargement of left lacrimal gland | A | Can lead a claim |
| H04033 | Chronic enlargement of bilateral lacrimal glands | A | Can lead a claim |
| H04039 | Chronic enlargement of unspecified lacrimal gland | None | Cannot lead a claim |
| H04111 | Dacryops of right lacrimal gland | A | Can lead a claim |
| H04112 | Dacryops of left lacrimal gland | A | Can lead a claim |
| H04113 | Dacryops of bilateral lacrimal glands | A | Can lead a claim |
| H04119 | Dacryops of unspecified lacrimal gland | None | Cannot lead a claim |
| H04121 | Dry eye syndrome of right lacrimal gland | A | Can lead a claim |
| H04122 | Dry eye syndrome of left lacrimal gland | A | Can lead a claim |
| H04123 | Dry eye syndrome of bilateral lacrimal glands | A | Can lead a claim |
| H04129 | Dry eye syndrome of unspecified lacrimal gland | None | Cannot lead a claim |
| H04131 | Lacrimal cyst, right lacrimal gland | A | Can lead a claim |
| H04132 | Lacrimal cyst, left lacrimal gland | A | Can lead a claim |
| H04133 | Lacrimal cyst, bilateral lacrimal glands | A | Can lead a claim |
| H04139 | Lacrimal cyst, unspecified lacrimal gland | None | Cannot lead a claim |
| H04141 | Primary lacrimal gland atrophy, right lacrimal gland | A | Can lead a claim |
| H04142 | Primary lacrimal gland atrophy, left lacrimal gland | A | Can lead a claim |
| H04143 | Primary lacrimal gland atrophy, bilateral lacrimal glands | A | Can lead a claim |
| H04149 | Primary lacrimal gland atrophy, unspecified lacrimal gland | None | Cannot lead a claim |
| H04151 | Secondary lacrimal gland atrophy, right lacrimal gland | A | Can lead a claim |
| H04152 | Secondary lacrimal gland atrophy, left lacrimal gland | A | Can lead a claim |
| H04153 | Secondary lacrimal gland atrophy, bilateral lacrimal glands | A | Can lead a claim |
| H04159 | Secondary lacrimal gland atrophy, unspecified lacrimal gland | None | Cannot lead a claim |
| H04161 | Lacrimal gland dislocation, right lacrimal gland | A | Can lead a claim |
| H04162 | Lacrimal gland dislocation, left lacrimal gland | A | Can lead a claim |
| H04163 | Lacrimal gland dislocation, bilateral lacrimal glands | A | Can lead a claim |
| H04169 | Lacrimal gland dislocation, unspecified lacrimal gland | None | Cannot lead a claim |
| H0419 | Other specified disorders of lacrimal gland | A | Can lead a claim |
| H04201 | Unspecified epiphora, right side | A | Can lead a claim |
| H04202 | Unspecified epiphora, left side | A | Can lead a claim |
| H04203 | Unspecified epiphora, bilateral | A | Can lead a claim |
| H04209 | Unspecified epiphora, unspecified side | None | Cannot lead a claim |
| H04211 | Epiphora due to excess lacrimation, right lacrimal gland | A | Can lead a claim |
| H04212 | Epiphora due to excess lacrimation, left lacrimal gland | A | Can lead a claim |
| H04213 | Epiphora due to excess lacrimation, bi lacrimal glands | A | Can lead a claim |
| H04219 | Epiphora due to excess lacrimation, unsp lacrimal gland | None | Cannot lead a claim |
| H04221 | Epiphora due to insufficient drainage, right side | A | Can lead a claim |
| H04222 | Epiphora due to insufficient drainage, left side | A | Can lead a claim |
| H04223 | Epiphora due to insufficient drainage, bilateral | A | Can lead a claim |
| H04229 | Epiphora due to insufficient drainage, unspecified side | None | Cannot lead a claim |
| H04301 | Unspecified dacryocystitis of right lacrimal passage | A | Can lead a claim |
| H04302 | Unspecified dacryocystitis of left lacrimal passage | A | Can lead a claim |
| H04303 | Unspecified dacryocystitis of bilateral lacrimal passages | A | Can lead a claim |
| H04309 | Unspecified dacryocystitis of unspecified lacrimal passage | None | Cannot lead a claim |
| H04311 | Phlegmonous dacryocystitis of right lacrimal passage | A | Can lead a claim |
| H04312 | Phlegmonous dacryocystitis of left lacrimal passage | A | Can lead a claim |
| H04313 | Phlegmonous dacryocystitis of bilateral lacrimal passages | A | Can lead a claim |
| H04319 | Phlegmonous dacryocystitis of unspecified lacrimal passage | None | Cannot lead a claim |
| H04321 | Acute dacryocystitis of right lacrimal passage | A | Can lead a claim |
| H04322 | Acute dacryocystitis of left lacrimal passage | A | Can lead a claim |
| H04323 | Acute dacryocystitis of bilateral lacrimal passages | A | Can lead a claim |
| H04329 | Acute dacryocystitis of unspecified lacrimal passage | None | Cannot lead a claim |
| H04331 | Acute lacrimal canaliculitis of right lacrimal passage | A | Can lead a claim |
| H04332 | Acute lacrimal canaliculitis of left lacrimal passage | A | Can lead a claim |
| H04333 | Acute lacrimal canaliculitis of bilateral lacrimal passages | A | Can lead a claim |
| H04339 | Acute lacrimal canaliculitis of unspecified lacrimal passage | None | Cannot lead a claim |
| H04411 | Chronic dacryocystitis of right lacrimal passage | A | Can lead a claim |
| H04412 | Chronic dacryocystitis of left lacrimal passage | A | Can lead a claim |
| H04413 | Chronic dacryocystitis of bilateral lacrimal passages | A | Can lead a claim |
| H04419 | Chronic dacryocystitis of unspecified lacrimal passage | None | Cannot lead a claim |
| H04421 | Chronic lacrimal canaliculitis of right lacrimal passage | A | Can lead a claim |
| H04422 | Chronic lacrimal canaliculitis of left lacrimal passage | A | Can lead a claim |
| H04423 | Chronic lacrimal canaliculitis of bi lacrimal passages | A | Can lead a claim |
| H04429 | Chronic lacrimal canaliculitis of unsp lacrimal passage | None | Cannot lead a claim |
| H04431 | Chronic lacrimal mucocele of right lacrimal passage | A | Can lead a claim |
| H04432 | Chronic lacrimal mucocele of left lacrimal passage | A | Can lead a claim |
| H04433 | Chronic lacrimal mucocele of bilateral lacrimal passages | A | Can lead a claim |
| H04439 | Chronic lacrimal mucocele of unspecified lacrimal passage | None | Cannot lead a claim |
| H04511 | Dacryolith of right lacrimal passage | A | Can lead a claim |
| H04512 | Dacryolith of left lacrimal passage | A | Can lead a claim |
| H04513 | Dacryolith of bilateral lacrimal passages | A | Can lead a claim |
| H04519 | Dacryolith of unspecified lacrimal passage | None | Cannot lead a claim |
| H04521 | Eversion of right lacrimal punctum | A | Can lead a claim |
| H04522 | Eversion of left lacrimal punctum | A | Can lead a claim |
| H04523 | Eversion of bilateral lacrimal punctum | A | Can lead a claim |
| H04529 | Eversion of unspecified lacrimal punctum | None | Cannot lead a claim |
| H04531 | Neonatal obstruction of right nasolacrimal duct | A | Can lead a claim |
| H04532 | Neonatal obstruction of left nasolacrimal duct | A | Can lead a claim |
| H04533 | Neonatal obstruction of bilateral nasolacrimal duct | A | Can lead a claim |
| H04539 | Neonatal obstruction of unspecified nasolacrimal duct | None | Cannot lead a claim |
| H04541 | Stenosis of right lacrimal canaliculi | A | Can lead a claim |
| H04542 | Stenosis of left lacrimal canaliculi | A | Can lead a claim |
| H04543 | Stenosis of bilateral lacrimal canaliculi | A | Can lead a claim |
| H04549 | Stenosis of unspecified lacrimal canaliculi | None | Cannot lead a claim |
| H04551 | Acquired stenosis of right nasolacrimal duct | A | Can lead a claim |
| H04552 | Acquired stenosis of left nasolacrimal duct | A | Can lead a claim |
| H04553 | Acquired stenosis of bilateral nasolacrimal duct | A | Can lead a claim |
| H04559 | Acquired stenosis of unspecified nasolacrimal duct | None | Cannot lead a claim |
| H04561 | Stenosis of right lacrimal punctum | A | Can lead a claim |
| H04562 | Stenosis of left lacrimal punctum | A | Can lead a claim |
| H04563 | Stenosis of bilateral lacrimal punctum | A | Can lead a claim |
| H04569 | Stenosis of unspecified lacrimal punctum | None | Cannot lead a claim |
| H04571 | Stenosis of right lacrimal sac | A | Can lead a claim |
| H04572 | Stenosis of left lacrimal sac | A | Can lead a claim |
| H04573 | Stenosis of bilateral lacrimal sac | A | Can lead a claim |
| H04579 | Stenosis of unspecified lacrimal sac | None | Cannot lead a claim |
| H04611 | Lacrimal fistula right lacrimal passage | A | Can lead a claim |
| H04612 | Lacrimal fistula left lacrimal passage | A | Can lead a claim |
| H04613 | Lacrimal fistula bilateral lacrimal passages | A | Can lead a claim |
| H04619 | Lacrimal fistula unspecified lacrimal passage | None | Cannot lead a claim |
| H0469 | Other changes of lacrimal passages | A | Can lead a claim |
| H04811 | Granuloma of right lacrimal passage | A | Can lead a claim |
| H04812 | Granuloma of left lacrimal passage | A | Can lead a claim |
| H04813 | Granuloma of bilateral lacrimal passages | A | Can lead a claim |
| H04819 | Granuloma of unspecified lacrimal passage | None | Cannot lead a claim |
| H0489 | Other disorders of lacrimal system | A | Can lead a claim |
| H049 | Disorder of lacrimal system, unspecified | None | Cannot lead a claim |
| H0500 | Unspecified acute inflammation of orbit | A | Can lead a claim |
| H05011 | Cellulitis of right orbit | A | Can lead a claim |
| H05012 | Cellulitis of left orbit | A | Can lead a claim |
| H05013 | Cellulitis of bilateral orbits | A | Can lead a claim |
| H05019 | Cellulitis of unspecified orbit | None | Cannot lead a claim |
| H05021 | Osteomyelitis of right orbit | A | Can lead a claim |
| H05022 | Osteomyelitis of left orbit | A | Can lead a claim |
| H05023 | Osteomyelitis of bilateral orbits | A | Can lead a claim |
| H05029 | Osteomyelitis of unspecified orbit | None | Cannot lead a claim |
| H05031 | Periostitis of right orbit | A | Can lead a claim |
| H05032 | Periostitis of left orbit | A | Can lead a claim |
| H05033 | Periostitis of bilateral orbits | A | Can lead a claim |
| H05039 | Periostitis of unspecified orbit | None | Cannot lead a claim |
| H05041 | Tenonitis of right orbit | A | Can lead a claim |
| H05042 | Tenonitis of left orbit | A | Can lead a claim |
| H05043 | Tenonitis of bilateral orbits | A | Can lead a claim |
| H05049 | Tenonitis of unspecified orbit | None | Cannot lead a claim |
| H0510 | Unspecified chronic inflammatory disorders of orbit | A | Can lead a claim |
| H05111 | Granuloma of right orbit | A | Can lead a claim |
| H05112 | Granuloma of left orbit | A | Can lead a claim |
| H05113 | Granuloma of bilateral orbits | A | Can lead a claim |
| H05119 | Granuloma of unspecified orbit | None | Cannot lead a claim |
| H05121 | Orbital myositis, right orbit | A | Can lead a claim |
| H05122 | Orbital myositis, left orbit | A | Can lead a claim |
| H05123 | Orbital myositis, bilateral | A | Can lead a claim |
| H05129 | Orbital myositis, unspecified orbit | None | Cannot lead a claim |
| H0520 | Unspecified exophthalmos | None | Cannot lead a claim |
| H05211 | Displacement (lateral) of globe, right eye | A | Can lead a claim |
| H05212 | Displacement (lateral) of globe, left eye | A | Can lead a claim |
| H05213 | Displacement (lateral) of globe, bilateral | A | Can lead a claim |
| H05219 | Displacement (lateral) of globe, unspecified eye | None | Cannot lead a claim |
| H05221 | Edema of right orbit | A | Can lead a claim |
| H05222 | Edema of left orbit | A | Can lead a claim |
| H05223 | Edema of bilateral orbit | A | Can lead a claim |
| H05229 | Edema of unspecified orbit | None | Cannot lead a claim |
| H05231 | Hemorrhage of right orbit | A | Can lead a claim |
| H05232 | Hemorrhage of left orbit | A | Can lead a claim |
| H05233 | Hemorrhage of bilateral orbit | A | Can lead a claim |
| H05239 | Hemorrhage of unspecified orbit | None | Cannot lead a claim |
| H05241 | Constant exophthalmos, right eye | A | Can lead a claim |
| H05242 | Constant exophthalmos, left eye | A | Can lead a claim |
| H05243 | Constant exophthalmos, bilateral | A | Can lead a claim |
| H05249 | Constant exophthalmos, unspecified eye | None | Cannot lead a claim |
| H05251 | Intermittent exophthalmos, right eye | A | Can lead a claim |
| H05252 | Intermittent exophthalmos, left eye | A | Can lead a claim |
| H05253 | Intermittent exophthalmos, bilateral | A | Can lead a claim |
| H05259 | Intermittent exophthalmos, unspecified eye | None | Cannot lead a claim |
| H05261 | Pulsating exophthalmos, right eye | A | Can lead a claim |
| H05262 | Pulsating exophthalmos, left eye | A | Can lead a claim |
| H05263 | Pulsating exophthalmos, bilateral | A | Can lead a claim |
| H05269 | Pulsating exophthalmos, unspecified eye | None | Cannot lead a claim |
| H0530 | Unspecified deformity of orbit | None | Cannot lead a claim |
| H05311 | Atrophy of right orbit | A | Can lead a claim |
| H05312 | Atrophy of left orbit | A | Can lead a claim |
| H05313 | Atrophy of bilateral orbit | A | Can lead a claim |
| H05319 | Atrophy of unspecified orbit | None | Cannot lead a claim |
| H05321 | Deformity of right orbit due to bone disease | A | Can lead a claim |
| H05322 | Deformity of left orbit due to bone disease | A | Can lead a claim |
| H05323 | Deformity of bilateral orbits due to bone disease | A | Can lead a claim |
| H05329 | Deformity of unspecified orbit due to bone disease | None | Cannot lead a claim |
| H05331 | Deformity of right orbit due to trauma or surgery | A | Can lead a claim |
| H05332 | Deformity of left orbit due to trauma or surgery | A | Can lead a claim |
| H05333 | Deformity of bilateral orbits due to trauma or surgery | A | Can lead a claim |
| H05339 | Deformity of unspecified orbit due to trauma or surgery | None | Cannot lead a claim |
| H05341 | Enlargement of right orbit | A | Can lead a claim |
| H05342 | Enlargement of left orbit | A | Can lead a claim |
| H05343 | Enlargement of bilateral orbits | A | Can lead a claim |
| H05349 | Enlargement of unspecified orbit | None | Cannot lead a claim |
| H05351 | Exostosis of right orbit | A | Can lead a claim |
| H05352 | Exostosis of left orbit | A | Can lead a claim |
| H05353 | Exostosis of bilateral orbits | A | Can lead a claim |
| H05359 | Exostosis of unspecified orbit | None | Cannot lead a claim |
| H05401 | Unspecified enophthalmos, right eye | A | Can lead a claim |
| H05402 | Unspecified enophthalmos, left eye | A | Can lead a claim |
| H05403 | Unspecified enophthalmos, bilateral | A | Can lead a claim |
| H05409 | Unspecified enophthalmos, unspecified eye | None | Cannot lead a claim |
| H05411 | Enophthalmos due to atrophy of orbital tissue, right eye | A | Can lead a claim |
| H05412 | Enophthalmos due to atrophy of orbital tissue, left eye | A | Can lead a claim |
| H05413 | Enophthalmos due to atrophy of orbital tissue, bilateral | A | Can lead a claim |
| H05419 | Enophthalmos due to atrophy of orbital tissue, unsp eye | None | Cannot lead a claim |
| H05421 | Enophthalmos due to trauma or surgery, right eye | A | Can lead a claim |
| H05422 | Enophthalmos due to trauma or surgery, left eye | A | Can lead a claim |
| H05423 | Enophthalmos due to trauma or surgery, bilateral | A | Can lead a claim |
| H05429 | Enophthalmos due to trauma or surgery, unspecified eye | None | Cannot lead a claim |
| H0550 | Retained (old) fb following penetrating wound of unsp orbit | None | Cannot lead a claim |
| H0551 | Retained (old) fb following penetrating wound of right orbit | A | Can lead a claim |
| H0552 | Retained (old) fb following penetrating wound of left orbit | A | Can lead a claim |
| H0553 | Retained (old) fb following penetrating wound of bi orbit | A | Can lead a claim |
| H05811 | Cyst of right orbit | A | Can lead a claim |
| H05812 | Cyst of left orbit | A | Can lead a claim |
| H05813 | Cyst of bilateral orbits | A | Can lead a claim |
| H05819 | Cyst of unspecified orbit | None | Cannot lead a claim |
| H05821 | Myopathy of extraocular muscles, right orbit | A | Can lead a claim |
| H05822 | Myopathy of extraocular muscles, left orbit | A | Can lead a claim |
| H05823 | Myopathy of extraocular muscles, bilateral | A | Can lead a claim |
| H05829 | Myopathy of extraocular muscles, unspecified orbit | None | Cannot lead a claim |
| H05831 | Thyroid orbitopathy, right orbit | A | Can lead a claim |
| H05832 | Thyroid orbitopathy, left orbit | A | Can lead a claim |
| H05833 | Thyroid orbitopathy, bilateral | A | Can lead a claim |
| H05839 | Thyroid orbitopathy, unspecified orbit | A | Can lead a claim |
| H0589 | Other disorders of orbit | A | Can lead a claim |
| H059 | Unspecified disorder of orbit | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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