H02.21 — Cicatricial lagophthalmos
Is H02.21 billable?
No — H02.21 is a non-billable header code. H02.21 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath H02.21.
Billable codes under this header
- H02.211Cicatricial lagophthalmos right upper eyelid
- H02.212Cicatricial lagophthalmos right lower eyelid
- H02.213Cicatricial lagophthalmos right eye, unspecified eyelid
- H02.214Cicatricial lagophthalmos left upper eyelid
- H02.215Cicatricial lagophthalmos left lower eyelid
- H02.216Cicatricial lagophthalmos left eye, unspecified eyelid
- H02.219Cicatricial lagophthalmos unspecified eye, unspecified eyelid
- H02.21ACicatricial lagophthalmos right eye, upper and lower eyelids
- H02.21BCicatricial lagophthalmos left eye, upper and lower eyelids
- H02.21CCicatricial lagophthalmos, bilateral, upper and lower eyelids
H02.21 at a glance
| Code | H02.21 |
|---|---|
| Description | Cicatricial lagophthalmos |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from H02
The conditions below can never be reported together with H02.21 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 H02.21, but a patient may have both at the same time. When documentation supports it, H02.21 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 H02.21, but a patient may have both at the same time. When documentation supports it, H02.21 and the excluded code may both be reported.
What codes fall under H02.21? (10)
- H02.211Cicatricial lagophthalmos right upper eyelid
- H02.212Cicatricial lagophthalmos right lower eyelid
- H02.213Cicatricial lagophthalmos right eye, unspecified eyelid
- H02.214Cicatricial lagophthalmos left upper eyelid
- H02.215Cicatricial lagophthalmos left lower eyelid
- H02.216Cicatricial lagophthalmos left eye, unspecified eyelid
- H02.219Cicatricial lagophthalmos unspecified eye, unspecified eyelid
- H02.21ACicatricial lagophthalmos right eye, upper and lower eyelids
- H02.21BCicatricial lagophthalmos left eye, upper and lower eyelids
- H02.21CCicatricial lagophthalmos, bilateral, upper and lower eyelids
How long has H02.21 existed?
H02.21 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.