ICDcodes.org
FY2027

H02.042 — Spastic entropion of right lower eyelid

Billable

Is H02.042 billable?

Yes — H02.042 is billable for FY2027. H02.042 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H02.042 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H02.042 at a glance

CodeH02.042
DescriptionSpastic entropion of right lower eyelid
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does H02.042 group to?

H02.042 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
  • 125Other Disorders of the Eye without MCCmedical

How is H02.042 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to H02.042. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Entropion › spastic › right › lower (eyelid) (paralytic)

Excludes1 — never code together — inherited from H02

The conditions below can never be reported together with H02.042 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • congenital malformations of eyelid (Q10.0-Q10.3)

Excludes2 — not included here — inherited from Chapter 7

The conditions below are not part of H02.042, but a patient may have both at the same time. When documentation supports it, H02.042 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Excludes2 — not included here — inherited from H00-H05

The conditions below are not part of H02.042, but a patient may have both at the same time. When documentation supports it, H02.042 and the excluded code may both be reported.

How long has H02.042 existed?

H02.042 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to H02.042?

What other codes are in the H02.04 family? (6)