H02.20C — Unspecified lagophthalmos, bilateral, upper and lower eyelids
Is H02.20C billable?
Yes, but H02.20C is an unspecified code. H02.20C is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H02.20C is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting H02.20C — the more specific alternatives are listed below.
More specific alternatives
- H02.201Unspecified lagophthalmos right upper eyelid
- H02.202Unspecified lagophthalmos right lower eyelid
- H02.203Unspecified lagophthalmos right eye, unspecified eyelid
- H02.204Unspecified lagophthalmos left upper eyelid
- H02.205Unspecified lagophthalmos left lower eyelid
- H02.206Unspecified lagophthalmos left eye, unspecified eyelid
- H02.209Unspecified lagophthalmos unspecified eye, unspecified eyelid
- H02.20AUnspecified lagophthalmos right eye, upper and lower eyelids
- H02.20BUnspecified lagophthalmos left eye, upper and lower eyelids
H02.20C at a glance
| Code | H02.20C |
|---|---|
| Description | Unspecified lagophthalmos, bilateral, upper and lower eyelids |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H02.20C group to?
H02.20C 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 H02.20C listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H02.20C. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Lagophthalmos › bilateral, upper and lower eyelids (eyelid) (nervous)
Excludes1 — never code together — inherited from H02
The conditions below can never be reported together with H02.20C 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 H02.20C, but a patient may have both at the same time. When documentation supports it, H02.20C 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 H02.20C, but a patient may have both at the same time. When documentation supports it, H02.20C and the excluded code may both be reported.
How long has H02.20C existed?
H02.20C first appears in FY2019.
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 H02.20C?
What other codes are in the H02.20 family? (9)
- H02.201Unspecified lagophthalmos right upper eyelid
- H02.202Unspecified lagophthalmos right lower eyelid
- H02.203Unspecified lagophthalmos right eye, unspecified eyelid
- H02.204Unspecified lagophthalmos left upper eyelid
- H02.205Unspecified lagophthalmos left lower eyelid
- H02.206Unspecified lagophthalmos left eye, unspecified eyelid
- H02.209Unspecified lagophthalmos unspecified eye, unspecified eyelid
- H02.20AUnspecified lagophthalmos right eye, upper and lower eyelids
- H02.20BUnspecified lagophthalmos left eye, upper and lower eyelids