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 v07.1.26.
OASIS-E2 v1.00.0 · ingested 2026-04-26
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.
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 | Accepted |
| H00012 | Hordeolum externum right lower eyelid | A | Accepted |
| H00013 | Hordeolum externum right eye, unspecified eyelid | None | Cannot group |
| H00014 | Hordeolum externum left upper eyelid | A | Accepted |
| H00015 | Hordeolum externum left lower eyelid | A | Accepted |
| H00016 | Hordeolum externum left eye, unspecified eyelid | None | Cannot group |
| H00019 | Hordeolum externum unspecified eye, unspecified eyelid | None | Cannot group |
| H00021 | Hordeolum internum right upper eyelid | A | Accepted |
| H00022 | Hordeolum internum right lower eyelid | A | Accepted |
| H00023 | Hordeolum internum right eye, unspecified eyelid | None | Cannot group |
| H00024 | Hordeolum internum left upper eyelid | A | Accepted |
| H00025 | Hordeolum internum left lower eyelid | A | Accepted |
| H00026 | Hordeolum internum left eye, unspecified eyelid | None | Cannot group |
| H00029 | Hordeolum internum unspecified eye, unspecified eyelid | None | Cannot group |
| H00031 | Abscess of right upper eyelid | A | Accepted |
| H00032 | Abscess of right lower eyelid | A | Accepted |
| H00033 | Abscess of eyelid right eye, unspecified eyelid | None | Cannot group |
| H00034 | Abscess of left upper eyelid | A | Accepted |
| H00035 | Abscess of left lower eyelid | A | Accepted |
| H00036 | Abscess of eyelid left eye, unspecified eyelid | None | Cannot group |
| H00039 | Abscess of eyelid unspecified eye, unspecified eyelid | None | Cannot group |
| H0011 | Chalazion right upper eyelid | A | Accepted |
| H0012 | Chalazion right lower eyelid | A | Accepted |
| H0013 | Chalazion right eye, unspecified eyelid | None | Cannot group |
| H0014 | Chalazion left upper eyelid | A | Accepted |
| H0015 | Chalazion left lower eyelid | A | Accepted |
| H0016 | Chalazion left eye, unspecified eyelid | None | Cannot group |
| H0019 | Chalazion unspecified eye, unspecified eyelid | None | Cannot group |
| H01001 | Unspecified blepharitis right upper eyelid | A | Accepted |
| H01002 | Unspecified blepharitis right lower eyelid | A | Accepted |
| H01003 | Unspecified blepharitis right eye, unspecified eyelid | None | Cannot group |
| H01004 | Unspecified blepharitis left upper eyelid | A | Accepted |
| H01005 | Unspecified blepharitis left lower eyelid | A | Accepted |
| H01006 | Unspecified blepharitis left eye, unspecified eyelid | None | Cannot group |
| H01009 | Unspecified blepharitis unspecified eye, unspecified eyelid | None | Cannot group |
| H0100A | Unspecified blepharitis right eye, upper and lower eyelids | A | Accepted |
| H0100B | Unspecified blepharitis left eye, upper and lower eyelids | A | Accepted |
| H01011 | Ulcerative blepharitis right upper eyelid | A | Accepted |
| H01012 | Ulcerative blepharitis right lower eyelid | A | Accepted |
| H01013 | Ulcerative blepharitis right eye, unspecified eyelid | None | Cannot group |
| H01014 | Ulcerative blepharitis left upper eyelid | A | Accepted |
| H01015 | Ulcerative blepharitis left lower eyelid | A | Accepted |
| H01016 | Ulcerative blepharitis left eye, unspecified eyelid | None | Cannot group |
| H01019 | Ulcerative blepharitis unspecified eye, unspecified eyelid | None | Cannot group |
| H0101A | Ulcerative blepharitis right eye, upper and lower eyelids | A | Accepted |
| H0101B | Ulcerative blepharitis left eye, upper and lower eyelids | A | Accepted |
| H01021 | Squamous blepharitis right upper eyelid | A | Accepted |
| H01022 | Squamous blepharitis right lower eyelid | A | Accepted |
| H01023 | Squamous blepharitis right eye, unspecified eyelid | None | Cannot group |
| H01024 | Squamous blepharitis left upper eyelid | A | Accepted |
| H01025 | Squamous blepharitis left lower eyelid | A | Accepted |
| H01026 | Squamous blepharitis left eye, unspecified eyelid | None | Cannot group |
| H01029 | Squamous blepharitis unspecified eye, unspecified eyelid | None | Cannot group |
| H0102A | Squamous blepharitis right eye, upper and lower eyelids | A | Accepted |
| H0102B | Squamous blepharitis left eye, upper and lower eyelids | A | Accepted |
| H01111 | Allergic dermatitis of right upper eyelid | A | Accepted |
| H01112 | Allergic dermatitis of right lower eyelid | A | Accepted |
| H01113 | Allergic dermatitis of right eye, unspecified eyelid | None | Cannot group |
| H01114 | Allergic dermatitis of left upper eyelid | A | Accepted |
| H01115 | Allergic dermatitis of left lower eyelid | A | Accepted |
| H01116 | Allergic dermatitis of left eye, unspecified eyelid | None | Cannot group |
| H01119 | Allergic dermatitis of unspecified eye, unspecified eyelid | None | Cannot group |
| H01121 | Discoid lupus erythematosus of right upper eyelid | A | Accepted |
| H01122 | Discoid lupus erythematosus of right lower eyelid | A | Accepted |
| H01123 | Discoid lupus erythematosus of right eye, unspecified eyelid | None | Cannot group |
| H01124 | Discoid lupus erythematosus of left upper eyelid | A | Accepted |
| H01125 | Discoid lupus erythematosus of left lower eyelid | A | Accepted |
| H01126 | Discoid lupus erythematosus of left eye, unspecified eyelid | None | Cannot group |
| H01129 | Discoid lupus erythematosus of unsp eye, unspecified eyelid | None | Cannot group |
| H01131 | Eczematous dermatitis of right upper eyelid | A | Accepted |
| H01132 | Eczematous dermatitis of right lower eyelid | A | Accepted |
| H01133 | Eczematous dermatitis of right eye, unspecified eyelid | None | Cannot group |
| H01134 | Eczematous dermatitis of left upper eyelid | A | Accepted |
| H01135 | Eczematous dermatitis of left lower eyelid | A | Accepted |
| H01136 | Eczematous dermatitis of left eye, unspecified eyelid | None | Cannot group |
| H01139 | Eczematous dermatitis of unspecified eye, unspecified eyelid | None | Cannot group |
| H01141 | Xeroderma of right upper eyelid | A | Accepted |
| H01142 | Xeroderma of right lower eyelid | A | Accepted |
| H01143 | Xeroderma of right eye, unspecified eyelid | None | Cannot group |
| H01144 | Xeroderma of left upper eyelid | A | Accepted |
| H01145 | Xeroderma of left lower eyelid | A | Accepted |
| H01146 | Xeroderma of left eye, unspecified eyelid | None | Cannot group |
| H01149 | Xeroderma of unspecified eye, unspecified eyelid | None | Cannot group |
| H0181 | Other specified inflammation of right upper eyelid | A | Accepted |
| H0182 | Other specified inflammation of right lower eyelid | A | Accepted |
| H0183 | Oth inflammation of right eye, unspecified eyelid | A | Accepted |
| H0184 | Other specified inflammation of left upper eyelid | A | Accepted |
| H0185 | Other specified inflammation of left lower eyelid | A | Accepted |
| H0186 | Other specified inflammation of left eye, unspecified eyelid | A | Accepted |
| H0189 | Oth inflammation of unspecified eye, unspecified eyelid | None | Cannot group |
| H018A | Oth inflammation of right eye, upper and lower eyelids | A | Accepted |
| H018B | Oth inflammation of left eye, upper and lower eyelids | A | Accepted |
| H019 | Unspecified inflammation of eyelid | None | Cannot group |
| H02001 | Unspecified entropion of right upper eyelid | A | Accepted |
| H02002 | Unspecified entropion of right lower eyelid | A | Accepted |
| H02003 | Unspecified entropion of right eye, unspecified eyelid | None | Cannot group |
| H02004 | Unspecified entropion of left upper eyelid | A | Accepted |
| H02005 | Unspecified entropion of left lower eyelid | A | Accepted |
| H02006 | Unspecified entropion of left eye, unspecified eyelid | None | Cannot group |
| H02009 | Unspecified entropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02011 | Cicatricial entropion of right upper eyelid | A | Accepted |
| H02012 | Cicatricial entropion of right lower eyelid | A | Accepted |
| H02013 | Cicatricial entropion of right eye, unspecified eyelid | None | Cannot group |
| H02014 | Cicatricial entropion of left upper eyelid | A | Accepted |
| H02015 | Cicatricial entropion of left lower eyelid | A | Accepted |
| H02016 | Cicatricial entropion of left eye, unspecified eyelid | None | Cannot group |
| H02019 | Cicatricial entropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02021 | Mechanical entropion of right upper eyelid | A | Accepted |
| H02022 | Mechanical entropion of right lower eyelid | A | Accepted |
| H02023 | Mechanical entropion of right eye, unspecified eyelid | None | Cannot group |
| H02024 | Mechanical entropion of left upper eyelid | A | Accepted |
| H02025 | Mechanical entropion of left lower eyelid | A | Accepted |
| H02026 | Mechanical entropion of left eye, unspecified eyelid | None | Cannot group |
| H02029 | Mechanical entropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02031 | Senile entropion of right upper eyelid | A | Accepted |
| H02032 | Senile entropion of right lower eyelid | A | Accepted |
| H02033 | Senile entropion of right eye, unspecified eyelid | None | Cannot group |
| H02034 | Senile entropion of left upper eyelid | A | Accepted |
| H02035 | Senile entropion of left lower eyelid | A | Accepted |
| H02036 | Senile entropion of left eye, unspecified eyelid | None | Cannot group |
| H02039 | Senile entropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02041 | Spastic entropion of right upper eyelid | A | Accepted |
| H02042 | Spastic entropion of right lower eyelid | A | Accepted |
| H02043 | Spastic entropion of right eye, unspecified eyelid | None | Cannot group |
| H02044 | Spastic entropion of left upper eyelid | A | Accepted |
| H02045 | Spastic entropion of left lower eyelid | A | Accepted |
| H02046 | Spastic entropion of left eye, unspecified eyelid | None | Cannot group |
| H02049 | Spastic entropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02051 | Trichiasis without entropion right upper eyelid | A | Accepted |
| H02052 | Trichiasis without entropion right lower eyelid | A | Accepted |
| H02053 | Trichiasis without entropion right eye, unspecified eyelid | None | Cannot group |
| H02054 | Trichiasis without entropion left upper eyelid | A | Accepted |
| H02055 | Trichiasis without entropion left lower eyelid | A | Accepted |
| H02056 | Trichiasis without entropion left eye, unspecified eyelid | None | Cannot group |
| H02059 | Trichiasis without entropion unsp, unspecified eyelid | None | Cannot group |
| H02101 | Unspecified ectropion of right upper eyelid | A | Accepted |
| H02102 | Unspecified ectropion of right lower eyelid | A | Accepted |
| H02103 | Unspecified ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02104 | Unspecified ectropion of left upper eyelid | A | Accepted |
| H02105 | Unspecified ectropion of left lower eyelid | None | Cannot group |
| H02106 | Unspecified ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02109 | Unspecified ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02111 | Cicatricial ectropion of right upper eyelid | A | Accepted |
| H02112 | Cicatricial ectropion of right lower eyelid | A | Accepted |
| H02113 | Cicatricial ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02114 | Cicatricial ectropion of left upper eyelid | A | Accepted |
| H02115 | Cicatricial ectropion of left lower eyelid | A | Accepted |
| H02116 | Cicatricial ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02119 | Cicatricial ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02121 | Mechanical ectropion of right upper eyelid | A | Accepted |
| H02122 | Mechanical ectropion of right lower eyelid | A | Accepted |
| H02123 | Mechanical ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02124 | Mechanical ectropion of left upper eyelid | A | Accepted |
| H02125 | Mechanical ectropion of left lower eyelid | A | Accepted |
| H02126 | Mechanical ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02129 | Mechanical ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02131 | Senile ectropion of right upper eyelid | A | Accepted |
| H02132 | Senile ectropion of right lower eyelid | A | Accepted |
| H02133 | Senile ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02134 | Senile ectropion of left upper eyelid | A | Accepted |
| H02135 | Senile ectropion of left lower eyelid | A | Accepted |
| H02136 | Senile ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02139 | Senile ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02141 | Spastic ectropion of right upper eyelid | A | Accepted |
| H02142 | Spastic ectropion of right lower eyelid | A | Accepted |
| H02143 | Spastic ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02144 | Spastic ectropion of left upper eyelid | A | Accepted |
| H02145 | Spastic ectropion of left lower eyelid | A | Accepted |
| H02146 | Spastic ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02149 | Spastic ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02151 | Paralytic ectropion of right upper eyelid | A | Accepted |
| H02152 | Paralytic ectropion of right lower eyelid | A | Accepted |
| H02153 | Paralytic ectropion of right eye, unspecified eyelid | None | Cannot group |
| H02154 | Paralytic ectropion of left upper eyelid | A | Accepted |
| H02155 | Paralytic ectropion of left lower eyelid | A | Accepted |
| H02156 | Paralytic ectropion of left eye, unspecified eyelid | None | Cannot group |
| H02159 | Paralytic ectropion of unspecified eye, unspecified eyelid | None | Cannot group |
| H02201 | Unspecified lagophthalmos right upper eyelid | A | Accepted |
| H02202 | Unspecified lagophthalmos right lower eyelid | A | Accepted |
| H02203 | Unspecified lagophthalmos right eye, unspecified eyelid | None | Cannot group |
| H02204 | Unspecified lagophthalmos left upper eyelid | A | Accepted |
| H02205 | Unspecified lagophthalmos left lower eyelid | A | Accepted |
| H02206 | Unspecified lagophthalmos left eye, unspecified eyelid | None | Cannot group |
| H02209 | Unsp lagophthalmos unspecified eye, unspecified eyelid | None | Cannot group |
| H0220A | Unspecified lagophthalmos right eye, upper and lower eyelids | A | Accepted |
| H0220B | Unspecified lagophthalmos left eye, upper and lower eyelids | A | Accepted |
| H0220C | Unsp lagophthalmos, bilateral, upper and lower eyelids | A | Accepted |
| H02211 | Cicatricial lagophthalmos right upper eyelid | A | Accepted |
| H02212 | Cicatricial lagophthalmos right lower eyelid | A | Accepted |
| H02213 | Cicatricial lagophthalmos right eye, unspecified eyelid | None | Cannot group |
| H02214 | Cicatricial lagophthalmos left upper eyelid | A | Accepted |
| H02215 | Cicatricial lagophthalmos left lower eyelid | A | Accepted |
| H02216 | Cicatricial lagophthalmos left eye, unspecified eyelid | None | Cannot group |
| H02219 | Cicatricial lagophthalmos unsp eye, unspecified eyelid | None | Cannot group |
| H0221A | Cicatricial lagophthalmos right eye, upper and lower eyelids | A | Accepted |
| H0221B | Cicatricial lagophthalmos left eye, upper and lower eyelids | A | Accepted |
| H0221C | Cicatricial lagophthalmos, bi, upper and lower eyelids | A | Accepted |
| H02221 | Mechanical lagophthalmos right upper eyelid | A | Accepted |
| H02222 | Mechanical lagophthalmos right lower eyelid | A | Accepted |
| H02223 | Mechanical lagophthalmos right eye, unspecified eyelid | None | Cannot group |
| H02224 | Mechanical lagophthalmos left upper eyelid | A | Accepted |
| H02225 | Mechanical lagophthalmos left lower eyelid | A | Accepted |
| H02226 | Mechanical lagophthalmos left eye, unspecified eyelid | None | Cannot group |
| H02229 | Mechanical lagophthalmos unspecified eye, unspecified eyelid | None | Cannot group |
| H0222A | Mechanical lagophthalmos right eye, upper and lower eyelids | A | Accepted |
| H0222B | Mechanical lagophthalmos left eye, upper and lower eyelids | A | Accepted |
| H0222C | Mechanical lagophthalmos, bilateral, upper and lower eyelids | A | Accepted |
| H02231 | Paralytic lagophthalmos right upper eyelid | A | Accepted |
| H02232 | Paralytic lagophthalmos right lower eyelid | A | Accepted |
| H02233 | Paralytic lagophthalmos right eye, unspecified eyelid | None | Cannot group |
| H02234 | Paralytic lagophthalmos left upper eyelid | A | Accepted |
| H02235 | Paralytic lagophthalmos left lower eyelid | A | Accepted |
| H02236 | Paralytic lagophthalmos left eye, unspecified eyelid | None | Cannot group |
| H02239 | Paralytic lagophthalmos unspecified eye, unspecified eyelid | None | Cannot group |
| H0223A | Paralytic lagophthalmos right eye, upper and lower eyelids | A | Accepted |
| H0223B | Paralytic lagophthalmos left eye, upper and lower eyelids | A | Accepted |
| H0223C | Paralytic lagophthalmos, bilateral, upper and lower eyelids | A | Accepted |
| H0230 | Blepharochalasis unspecified eye, unspecified eyelid | None | Cannot group |
| H0231 | Blepharochalasis right upper eyelid | A | Accepted |
| H0232 | Blepharochalasis right lower eyelid | A | Accepted |
| H0233 | Blepharochalasis right eye, unspecified eyelid | None | Cannot group |
| H0234 | Blepharochalasis left upper eyelid | A | Accepted |
| H0235 | Blepharochalasis left lower eyelid | A | Accepted |
| H0236 | Blepharochalasis left eye, unspecified eyelid | None | Cannot group |
| H02401 | Unspecified ptosis of right eyelid | A | Accepted |
| H02402 | Unspecified ptosis of left eyelid | A | Accepted |
| H02403 | Unspecified ptosis of bilateral eyelids | A | Accepted |
| H02409 | Unspecified ptosis of unspecified eyelid | None | Cannot group |
| H02411 | Mechanical ptosis of right eyelid | A | Accepted |
| H02412 | Mechanical ptosis of left eyelid | A | Accepted |
| H02413 | Mechanical ptosis of bilateral eyelids | A | Accepted |
| H02419 | Mechanical ptosis of unspecified eyelid | None | Cannot group |
| H02421 | Myogenic ptosis of right eyelid | A | Accepted |
| H02422 | Myogenic ptosis of left eyelid | A | Accepted |
| H02423 | Myogenic ptosis of bilateral eyelids | A | Accepted |
| H02429 | Myogenic ptosis of unspecified eyelid | None | Cannot group |
| H02431 | Paralytic ptosis of right eyelid | A | Accepted |
| H02432 | Paralytic ptosis of left eyelid | A | Accepted |
| H02433 | Paralytic ptosis of bilateral eyelids | A | Accepted |
| H02439 | Paralytic ptosis unspecified eyelid | None | Cannot group |
| H02511 | Abnormal innervation syndrome right upper eyelid | A | Accepted |
| H02512 | Abnormal innervation syndrome right lower eyelid | A | Accepted |
| H02513 | Abnormal innervation syndrome right eye, unspecified eyelid | None | Cannot group |
| H02514 | Abnormal innervation syndrome left upper eyelid | A | Accepted |
| H02515 | Abnormal innervation syndrome left lower eyelid | A | Accepted |
| H02516 | Abnormal innervation syndrome left eye, unspecified eyelid | None | Cannot group |
| H02519 | Abnormal innervation syndrome unsp eye, unspecified eyelid | None | Cannot group |
| H02521 | Blepharophimosis right upper eyelid | A | Accepted |
| H02522 | Blepharophimosis right lower eyelid | A | Accepted |
| H02523 | Blepharophimosis right eye, unspecified eyelid | None | Cannot group |
| H02524 | Blepharophimosis left upper eyelid | A | Accepted |
| H02525 | Blepharophimosis left lower eyelid | A | Accepted |
| H02526 | Blepharophimosis left eye, unspecified eyelid | None | Cannot group |
| H02529 | Blepharophimosis unspecified eye, unspecified lid | None | Cannot group |
| H02531 | Eyelid retraction right upper eyelid | A | Accepted |
| H02532 | Eyelid retraction right lower eyelid | A | Accepted |
| H02533 | Eyelid retraction right eye, unspecified eyelid | None | Cannot group |
| H02534 | Eyelid retraction left upper eyelid | A | Accepted |
| H02535 | Eyelid retraction left lower eyelid | A | Accepted |
| H02536 | Eyelid retraction left eye, unspecified eyelid | None | Cannot group |
| H02539 | Eyelid retraction unspecified eye, unspecified lid | None | Cannot group |
| H0259 | Other disorders affecting eyelid function | A | Accepted |
| H0260 | Xanthelasma of unspecified eye, unspecified eyelid | None | Cannot group |
| H0261 | Xanthelasma of right upper eyelid | A | Accepted |
| H0262 | Xanthelasma of right lower eyelid | A | Accepted |
| H0263 | Xanthelasma of right eye, unspecified eyelid | None | Cannot group |
| H0264 | Xanthelasma of left upper eyelid | A | Accepted |
| H0265 | Xanthelasma of left lower eyelid | A | Accepted |
| H0266 | Xanthelasma of left eye, unspecified eyelid | None | Cannot group |
| H0270 | Unsp degenerative disorders of eyelid and periocular area | A | Accepted |
| H02711 | Chloasma of right upper eyelid and periocular area | A | Accepted |
| H02712 | Chloasma of right lower eyelid and periocular area | A | Accepted |
| H02713 | Chloasma of right eye, unsp eyelid and periocular area | None | Cannot group |
| H02714 | Chloasma of left upper eyelid and periocular area | A | Accepted |
| H02715 | Chloasma of left lower eyelid and periocular area | A | Accepted |
| H02716 | Chloasma of left eye, unspecified eyelid and periocular area | None | Cannot group |
| H02719 | Chloasma of unsp eye, unspecified eyelid and periocular area | None | Cannot group |
| H02721 | Madarosis of right upper eyelid and periocular area | A | Accepted |
| H02722 | Madarosis of right lower eyelid and periocular area | A | Accepted |
| H02723 | Madarosis of right eye, unsp eyelid and periocular area | None | Cannot group |
| H02724 | Madarosis of left upper eyelid and periocular area | A | Accepted |
| H02725 | Madarosis of left lower eyelid and periocular area | A | Accepted |
| H02726 | Madarosis of left eye, unsp eyelid and periocular area | None | Cannot group |
| H02729 | Madarosis of unsp eye, unsp eyelid and periocular area | None | Cannot group |
| H02731 | Vitiligo of right upper eyelid and periocular area | A | Accepted |
| H02732 | Vitiligo of right lower eyelid and periocular area | A | Accepted |
| H02733 | Vitiligo of right eye, unsp eyelid and periocular area | None | Cannot group |
| H02734 | Vitiligo of left upper eyelid and periocular area | A | Accepted |
| H02735 | Vitiligo of left lower eyelid and periocular area | A | Accepted |
| H02736 | Vitiligo of left eye, unspecified eyelid and periocular area | None | Cannot group |
| H02739 | Vitiligo of unsp eye, unspecified eyelid and periocular area | None | Cannot group |
| H0279 | Other degenerative disorders of eyelid and periocular area | A | Accepted |
| H02811 | Retained foreign body in right upper eyelid | A | Accepted |
| H02812 | Retained foreign body in right lower eyelid | A | Accepted |
| H02813 | Retained foreign body in right eye, unspecified eyelid | None | Cannot group |
| H02814 | Retained foreign body in left upper eyelid | A | Accepted |
| H02815 | Retained foreign body in left lower eyelid | A | Accepted |
| H02816 | Retained foreign body in left eye, unspecified eyelid | None | Cannot group |
| H02819 | Retained foreign body in unspecified eye, unspecified eyelid | None | Cannot group |
| H02821 | Cysts of right upper eyelid | A | Accepted |
| H02822 | Cysts of right lower eyelid | A | Accepted |
| H02823 | Cysts of right eye, unspecified eyelid | None | Cannot group |
| H02824 | Cysts of left upper eyelid | A | Accepted |
| H02825 | Cysts of left lower eyelid | A | Accepted |
| H02826 | Cysts of left eye, unspecified eyelid | None | Cannot group |
| H02829 | Cysts of unspecified eye, unspecified eyelid | None | Cannot group |
| H02831 | Dermatochalasis of right upper eyelid | A | Accepted |
| H02832 | Dermatochalasis of right lower eyelid | A | Accepted |
| H02833 | Dermatochalasis of right eye, unspecified eyelid | None | Cannot group |
| H02834 | Dermatochalasis of left upper eyelid | A | Accepted |
| H02835 | Dermatochalasis of left lower eyelid | A | Accepted |
| H02836 | Dermatochalasis of left eye, unspecified eyelid | None | Cannot group |
| H02839 | Dermatochalasis of unspecified eye, unspecified eyelid | None | Cannot group |
| H02841 | Edema of right upper eyelid | A | Accepted |
| H02842 | Edema of right lower eyelid | A | Accepted |
| H02843 | Edema of right eye, unspecified eyelid | None | Cannot group |
| H02844 | Edema of left upper eyelid | A | Accepted |
| H02845 | Edema of left lower eyelid | A | Accepted |
| H02846 | Edema of left eye, unspecified eyelid | None | Cannot group |
| H02849 | Edema of unspecified eye, unspecified eyelid | None | Cannot group |
| H02851 | Elephantiasis of right upper eyelid | A | Accepted |
| H02852 | Elephantiasis of right lower eyelid | A | Accepted |
| H02853 | Elephantiasis of right eye, unspecified eyelid | None | Cannot group |
| H02854 | Elephantiasis of left upper eyelid | A | Accepted |
| H02855 | Elephantiasis of left lower eyelid | A | Accepted |
| H02856 | Elephantiasis of left eye, unspecified eyelid | None | Cannot group |
| H02859 | Elephantiasis of unspecified eye, unspecified eyelid | None | Cannot group |
| H02861 | Hypertrichosis of right upper eyelid | A | Accepted |
| H02862 | Hypertrichosis of right lower eyelid | A | Accepted |
| H02863 | Hypertrichosis of right eye, unspecified eyelid | None | Cannot group |
| H02864 | Hypertrichosis of left upper eyelid | A | Accepted |
| H02865 | Hypertrichosis of left lower eyelid | A | Accepted |
| H02866 | Hypertrichosis of left eye, unspecified eyelid | None | Cannot group |
| H02869 | Hypertrichosis of unspecified eye, unspecified eyelid | None | Cannot group |
| H02871 | Vascular anomalies of right upper eyelid | A | Accepted |
| H02872 | Vascular anomalies of right lower eyelid | A | Accepted |
| H02873 | Vascular anomalies of right eye, unspecified eyelid | None | Cannot group |
| H02874 | Vascular anomalies of left upper eyelid | A | Accepted |
| H02875 | Vascular anomalies of left lower eyelid | A | Accepted |
| H02876 | Vascular anomalies of left eye, unspecified eyelid | None | Cannot group |
| H02879 | Vascular anomalies of unspecified eye, unspecified eyelid | None | Cannot group |
| H02881 | Meibomian gland dysfunction right upper eyelid | A | Accepted |
| H02882 | Meibomian gland dysfunction right lower eyelid | A | Accepted |
| H02883 | Meibomian gland dysfunction of right eye, unspecified eyelid | None | Cannot group |
| H02884 | Meibomian gland dysfunction left upper eyelid | A | Accepted |
| H02885 | Meibomian gland dysfunction left lower eyelid | A | Accepted |
| H02886 | Meibomian gland dysfunction of left eye, unspecified eyelid | None | Cannot group |
| H02889 | Meibomian gland dysfunction of unsp, unspecified eyelid | None | Cannot group |
| H0288A | Meibomian gland dysfnct right eye, upper and lower eyelids | A | Accepted |
| H0288B | Meibomian gland dysfnct left eye, upper and lower eyelids | A | Accepted |
| H0289 | Other specified disorders of eyelid | A | Accepted |
| H029 | Unspecified disorder of eyelid | None | Cannot group |
| H04001 | Unspecified dacryoadenitis, right lacrimal gland | A | Accepted |
| H04002 | Unspecified dacryoadenitis, left lacrimal gland | A | Accepted |
| H04003 | Unspecified dacryoadenitis, bilateral lacrimal glands | A | Accepted |
| H04009 | Unspecified dacryoadenitis, unspecified lacrimal gland | None | Cannot group |
| H04011 | Acute dacryoadenitis, right lacrimal gland | A | Accepted |
| H04012 | Acute dacryoadenitis, left lacrimal gland | A | Accepted |
| H04013 | Acute dacryoadenitis, bilateral lacrimal glands | A | Accepted |
| H04019 | Acute dacryoadenitis, unspecified lacrimal gland | None | Cannot group |
| H04021 | Chronic dacryoadenitis, right lacrimal gland | A | Accepted |
| H04022 | Chronic dacryoadenitis, left lacrimal gland | A | Accepted |
| H04023 | Chronic dacryoadenitis, bilateral lacrimal gland | A | Accepted |
| H04029 | Chronic dacryoadenitis, unspecified lacrimal gland | None | Cannot group |
| H04031 | Chronic enlargement of right lacrimal gland | A | Accepted |
| H04032 | Chronic enlargement of left lacrimal gland | A | Accepted |
| H04033 | Chronic enlargement of bilateral lacrimal glands | A | Accepted |
| H04039 | Chronic enlargement of unspecified lacrimal gland | None | Cannot group |
| H04111 | Dacryops of right lacrimal gland | A | Accepted |
| H04112 | Dacryops of left lacrimal gland | A | Accepted |
| H04113 | Dacryops of bilateral lacrimal glands | A | Accepted |
| H04119 | Dacryops of unspecified lacrimal gland | None | Cannot group |
| H04121 | Dry eye syndrome of right lacrimal gland | A | Accepted |
| H04122 | Dry eye syndrome of left lacrimal gland | A | Accepted |
| H04123 | Dry eye syndrome of bilateral lacrimal glands | A | Accepted |
| H04129 | Dry eye syndrome of unspecified lacrimal gland | None | Cannot group |
| H04131 | Lacrimal cyst, right lacrimal gland | A | Accepted |
| H04132 | Lacrimal cyst, left lacrimal gland | A | Accepted |
| H04133 | Lacrimal cyst, bilateral lacrimal glands | A | Accepted |
| H04139 | Lacrimal cyst, unspecified lacrimal gland | None | Cannot group |
| H04141 | Primary lacrimal gland atrophy, right lacrimal gland | A | Accepted |
| H04142 | Primary lacrimal gland atrophy, left lacrimal gland | A | Accepted |
| H04143 | Primary lacrimal gland atrophy, bilateral lacrimal glands | A | Accepted |
| H04149 | Primary lacrimal gland atrophy, unspecified lacrimal gland | None | Cannot group |
| H04151 | Secondary lacrimal gland atrophy, right lacrimal gland | A | Accepted |
| H04152 | Secondary lacrimal gland atrophy, left lacrimal gland | A | Accepted |
| H04153 | Secondary lacrimal gland atrophy, bilateral lacrimal glands | A | Accepted |
| H04159 | Secondary lacrimal gland atrophy, unspecified lacrimal gland | None | Cannot group |
| H04161 | Lacrimal gland dislocation, right lacrimal gland | A | Accepted |
| H04162 | Lacrimal gland dislocation, left lacrimal gland | A | Accepted |
| H04163 | Lacrimal gland dislocation, bilateral lacrimal glands | A | Accepted |
| H04169 | Lacrimal gland dislocation, unspecified lacrimal gland | None | Cannot group |
| H0419 | Other specified disorders of lacrimal gland | A | Accepted |
| H04201 | Unspecified epiphora, right side | A | Accepted |
| H04202 | Unspecified epiphora, left side | A | Accepted |
| H04203 | Unspecified epiphora, bilateral | A | Accepted |
| H04209 | Unspecified epiphora, unspecified side | None | Cannot group |
| H04211 | Epiphora due to excess lacrimation, right lacrimal gland | A | Accepted |
| H04212 | Epiphora due to excess lacrimation, left lacrimal gland | A | Accepted |
| H04213 | Epiphora due to excess lacrimation, bi lacrimal glands | A | Accepted |
| H04219 | Epiphora due to excess lacrimation, unsp lacrimal gland | None | Cannot group |
| H04221 | Epiphora due to insufficient drainage, right side | A | Accepted |
| H04222 | Epiphora due to insufficient drainage, left side | A | Accepted |
| H04223 | Epiphora due to insufficient drainage, bilateral | A | Accepted |
| H04229 | Epiphora due to insufficient drainage, unspecified side | None | Cannot group |
| H04301 | Unspecified dacryocystitis of right lacrimal passage | A | Accepted |
| H04302 | Unspecified dacryocystitis of left lacrimal passage | A | Accepted |
| H04303 | Unspecified dacryocystitis of bilateral lacrimal passages | A | Accepted |
| H04309 | Unspecified dacryocystitis of unspecified lacrimal passage | None | Cannot group |
| H04311 | Phlegmonous dacryocystitis of right lacrimal passage | A | Accepted |
| H04312 | Phlegmonous dacryocystitis of left lacrimal passage | A | Accepted |
| H04313 | Phlegmonous dacryocystitis of bilateral lacrimal passages | A | Accepted |
| H04319 | Phlegmonous dacryocystitis of unspecified lacrimal passage | None | Cannot group |
| H04321 | Acute dacryocystitis of right lacrimal passage | A | Accepted |
| H04322 | Acute dacryocystitis of left lacrimal passage | A | Accepted |
| H04323 | Acute dacryocystitis of bilateral lacrimal passages | A | Accepted |
| H04329 | Acute dacryocystitis of unspecified lacrimal passage | None | Cannot group |
| H04331 | Acute lacrimal canaliculitis of right lacrimal passage | A | Accepted |
| H04332 | Acute lacrimal canaliculitis of left lacrimal passage | A | Accepted |
| H04333 | Acute lacrimal canaliculitis of bilateral lacrimal passages | A | Accepted |
| H04339 | Acute lacrimal canaliculitis of unspecified lacrimal passage | None | Cannot group |
| H04411 | Chronic dacryocystitis of right lacrimal passage | A | Accepted |
| H04412 | Chronic dacryocystitis of left lacrimal passage | A | Accepted |
| H04413 | Chronic dacryocystitis of bilateral lacrimal passages | A | Accepted |
| H04419 | Chronic dacryocystitis of unspecified lacrimal passage | None | Cannot group |
| H04421 | Chronic lacrimal canaliculitis of right lacrimal passage | A | Accepted |
| H04422 | Chronic lacrimal canaliculitis of left lacrimal passage | A | Accepted |
| H04423 | Chronic lacrimal canaliculitis of bi lacrimal passages | A | Accepted |
| H04429 | Chronic lacrimal canaliculitis of unsp lacrimal passage | None | Cannot group |
| H04431 | Chronic lacrimal mucocele of right lacrimal passage | A | Accepted |
| H04432 | Chronic lacrimal mucocele of left lacrimal passage | A | Accepted |
| H04433 | Chronic lacrimal mucocele of bilateral lacrimal passages | A | Accepted |
| H04439 | Chronic lacrimal mucocele of unspecified lacrimal passage | None | Cannot group |
| H04511 | Dacryolith of right lacrimal passage | A | Accepted |
| H04512 | Dacryolith of left lacrimal passage | A | Accepted |
| H04513 | Dacryolith of bilateral lacrimal passages | A | Accepted |
| H04519 | Dacryolith of unspecified lacrimal passage | None | Cannot group |
| H04521 | Eversion of right lacrimal punctum | A | Accepted |
| H04522 | Eversion of left lacrimal punctum | A | Accepted |
| H04523 | Eversion of bilateral lacrimal punctum | A | Accepted |
| H04529 | Eversion of unspecified lacrimal punctum | None | Cannot group |
| H04531 | Neonatal obstruction of right nasolacrimal duct | A | Accepted |
| H04532 | Neonatal obstruction of left nasolacrimal duct | A | Accepted |
| H04533 | Neonatal obstruction of bilateral nasolacrimal duct | A | Accepted |
| H04539 | Neonatal obstruction of unspecified nasolacrimal duct | None | Cannot group |
| H04541 | Stenosis of right lacrimal canaliculi | A | Accepted |
| H04542 | Stenosis of left lacrimal canaliculi | A | Accepted |
| H04543 | Stenosis of bilateral lacrimal canaliculi | A | Accepted |
| H04549 | Stenosis of unspecified lacrimal canaliculi | None | Cannot group |
| H04551 | Acquired stenosis of right nasolacrimal duct | A | Accepted |
| H04552 | Acquired stenosis of left nasolacrimal duct | A | Accepted |
| H04553 | Acquired stenosis of bilateral nasolacrimal duct | A | Accepted |
| H04559 | Acquired stenosis of unspecified nasolacrimal duct | None | Cannot group |
| H04561 | Stenosis of right lacrimal punctum | A | Accepted |
| H04562 | Stenosis of left lacrimal punctum | A | Accepted |
| H04563 | Stenosis of bilateral lacrimal punctum | A | Accepted |
| H04569 | Stenosis of unspecified lacrimal punctum | None | Cannot group |
| H04571 | Stenosis of right lacrimal sac | A | Accepted |
| H04572 | Stenosis of left lacrimal sac | A | Accepted |
| H04573 | Stenosis of bilateral lacrimal sac | A | Accepted |
| H04579 | Stenosis of unspecified lacrimal sac | None | Cannot group |
| H04611 | Lacrimal fistula right lacrimal passage | A | Accepted |
| H04612 | Lacrimal fistula left lacrimal passage | A | Accepted |
| H04613 | Lacrimal fistula bilateral lacrimal passages | A | Accepted |
| H04619 | Lacrimal fistula unspecified lacrimal passage | None | Cannot group |
| H0469 | Other changes of lacrimal passages | A | Accepted |
| H04811 | Granuloma of right lacrimal passage | A | Accepted |
| H04812 | Granuloma of left lacrimal passage | A | Accepted |
| H04813 | Granuloma of bilateral lacrimal passages | A | Accepted |
| H04819 | Granuloma of unspecified lacrimal passage | None | Cannot group |
| H0489 | Other disorders of lacrimal system | A | Accepted |
| H049 | Disorder of lacrimal system, unspecified | None | Cannot group |
| H0500 | Unspecified acute inflammation of orbit | A | Accepted |
| H05011 | Cellulitis of right orbit | A | Accepted |
| H05012 | Cellulitis of left orbit | A | Accepted |
| H05013 | Cellulitis of bilateral orbits | A | Accepted |
| H05019 | Cellulitis of unspecified orbit | None | Too unspecified |
| H05021 | Osteomyelitis of right orbit | A | Accepted |
| H05022 | Osteomyelitis of left orbit | A | Accepted |
| H05023 | Osteomyelitis of bilateral orbits | A | Accepted |
| H05029 | Osteomyelitis of unspecified orbit | None | Too unspecified |
| H05031 | Periostitis of right orbit | A | Accepted |
| H05032 | Periostitis of left orbit | A | Accepted |
| H05033 | Periostitis of bilateral orbits | A | Accepted |
| H05039 | Periostitis of unspecified orbit | None | Too unspecified |
| H05041 | Tenonitis of right orbit | A | Accepted |
| H05042 | Tenonitis of left orbit | A | Accepted |
| H05043 | Tenonitis of bilateral orbits | A | Accepted |
| H05049 | Tenonitis of unspecified orbit | None | Cannot group |
| H0510 | Unspecified chronic inflammatory disorders of orbit | A | Accepted |
| H05111 | Granuloma of right orbit | A | Accepted |
| H05112 | Granuloma of left orbit | A | Accepted |
| H05113 | Granuloma of bilateral orbits | A | Accepted |
| H05119 | Granuloma of unspecified orbit | None | Cannot group |
| H05121 | Orbital myositis, right orbit | A | Accepted |
| H05122 | Orbital myositis, left orbit | A | Accepted |
| H05123 | Orbital myositis, bilateral | A | Accepted |
| H05129 | Orbital myositis, unspecified orbit | None | Cannot group |
| H0520 | Unspecified exophthalmos | None | Cannot group |
| H05211 | Displacement (lateral) of globe, right eye | A | Accepted |
| H05212 | Displacement (lateral) of globe, left eye | A | Accepted |
| H05213 | Displacement (lateral) of globe, bilateral | A | Accepted |
| H05219 | Displacement (lateral) of globe, unspecified eye | None | Cannot group |
| H05221 | Edema of right orbit | A | Accepted |
| H05222 | Edema of left orbit | A | Accepted |
| H05223 | Edema of bilateral orbit | A | Accepted |
| H05229 | Edema of unspecified orbit | None | Cannot group |
| H05231 | Hemorrhage of right orbit | A | Accepted |
| H05232 | Hemorrhage of left orbit | A | Accepted |
| H05233 | Hemorrhage of bilateral orbit | A | Accepted |
| H05239 | Hemorrhage of unspecified orbit | None | Cannot group |
| H05241 | Constant exophthalmos, right eye | A | Accepted |
| H05242 | Constant exophthalmos, left eye | A | Accepted |
| H05243 | Constant exophthalmos, bilateral | A | Accepted |
| H05249 | Constant exophthalmos, unspecified eye | None | Cannot group |
| H05251 | Intermittent exophthalmos, right eye | A | Accepted |
| H05252 | Intermittent exophthalmos, left eye | A | Accepted |
| H05253 | Intermittent exophthalmos, bilateral | A | Accepted |
| H05259 | Intermittent exophthalmos, unspecified eye | None | Cannot group |
| H05261 | Pulsating exophthalmos, right eye | A | Accepted |
| H05262 | Pulsating exophthalmos, left eye | A | Accepted |
| H05263 | Pulsating exophthalmos, bilateral | A | Accepted |
| H05269 | Pulsating exophthalmos, unspecified eye | None | Cannot group |
| H0530 | Unspecified deformity of orbit | None | Cannot group |
| H05311 | Atrophy of right orbit | A | Accepted |
| H05312 | Atrophy of left orbit | A | Accepted |
| H05313 | Atrophy of bilateral orbit | A | Accepted |
| H05319 | Atrophy of unspecified orbit | None | Cannot group |
| H05321 | Deformity of right orbit due to bone disease | A | Accepted |
| H05322 | Deformity of left orbit due to bone disease | A | Accepted |
| H05323 | Deformity of bilateral orbits due to bone disease | A | Accepted |
| H05329 | Deformity of unspecified orbit due to bone disease | None | Cannot group |
| H05331 | Deformity of right orbit due to trauma or surgery | A | Accepted |
| H05332 | Deformity of left orbit due to trauma or surgery | A | Accepted |
| H05333 | Deformity of bilateral orbits due to trauma or surgery | A | Accepted |
| H05339 | Deformity of unspecified orbit due to trauma or surgery | None | Cannot group |
| H05341 | Enlargement of right orbit | A | Accepted |
| H05342 | Enlargement of left orbit | A | Accepted |
| H05343 | Enlargement of bilateral orbits | A | Accepted |
| H05349 | Enlargement of unspecified orbit | None | Cannot group |
| H05351 | Exostosis of right orbit | A | Accepted |
| H05352 | Exostosis of left orbit | A | Accepted |
| H05353 | Exostosis of bilateral orbits | A | Accepted |
| H05359 | Exostosis of unspecified orbit | None | Cannot group |
| H05401 | Unspecified enophthalmos, right eye | A | Accepted |
| H05402 | Unspecified enophthalmos, left eye | A | Accepted |
| H05403 | Unspecified enophthalmos, bilateral | A | Accepted |
| H05409 | Unspecified enophthalmos, unspecified eye | None | Cannot group |
| H05411 | Enophthalmos due to atrophy of orbital tissue, right eye | A | Accepted |
| H05412 | Enophthalmos due to atrophy of orbital tissue, left eye | A | Accepted |
| H05413 | Enophthalmos due to atrophy of orbital tissue, bilateral | A | Accepted |
| H05419 | Enophthalmos due to atrophy of orbital tissue, unsp eye | None | Cannot group |
| H05421 | Enophthalmos due to trauma or surgery, right eye | A | Accepted |
| H05422 | Enophthalmos due to trauma or surgery, left eye | A | Accepted |
| H05423 | Enophthalmos due to trauma or surgery, bilateral | A | Accepted |
| H05429 | Enophthalmos due to trauma or surgery, unspecified eye | None | Cannot group |
| H0550 | Retained (old) fb following penetrating wound of unsp orbit | None | Cannot group |
| H0551 | Retained (old) fb following penetrating wound of right orbit | A | Accepted |
| H0552 | Retained (old) fb following penetrating wound of left orbit | A | Accepted |
| H0553 | Retained (old) fb following penetrating wound of bi orbit | A | Accepted |
| H05811 | Cyst of right orbit | A | Accepted |
| H05812 | Cyst of left orbit | A | Accepted |
| H05813 | Cyst of bilateral orbits | A | Accepted |
| H05819 | Cyst of unspecified orbit | None | Cannot group |
| H05821 | Myopathy of extraocular muscles, right orbit | A | Accepted |
| H05822 | Myopathy of extraocular muscles, left orbit | A | Accepted |
| H05823 | Myopathy of extraocular muscles, bilateral | A | Accepted |
| H05829 | Myopathy of extraocular muscles, unspecified orbit | None | Cannot group |
| H05831 | Thyroid orbitopathy, right orbit | A | Accepted |
| H05832 | Thyroid orbitopathy, left orbit | A | Accepted |
| H05833 | Thyroid orbitopathy, bilateral | A | Accepted |
| H05839 | Thyroid orbitopathy, unspecified orbit | A | Accepted |
| H0589 | Other disorders of orbit | A | Accepted |
| H059 | Unspecified disorder of orbit | None | Cannot group |
Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff.