H02.402 — Unspecified ptosis of left eyelid
Is H02.402 billable?
Yes, but H02.402 is an unspecified code. H02.402 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, H02.402 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 H02.402 — the more specific alternatives are listed below.
H02.402 at a glance
| Code | H02.402 |
|---|---|
| Description | Unspecified ptosis of left eyelid |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H02.402 group to?
H02.402 sits in MDC 02 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 123Neurological Eye Disordersmedical
How is H02.402 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H02.40, the nearest indexed parent of H02.402. Use them to find the family, then select the specific code.
- Blepharoptosis
Excludes1 — never code together — inherited from H02
The conditions below can never be reported together with H02.402 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 H02.402, but a patient may have both at the same time. When documentation supports it, H02.402 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 H02.402, but a patient may have both at the same time. When documentation supports it, H02.402 and the excluded code may both be reported.
How long has H02.402 existed?
H02.402 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.