H02.511 — Abnormal innervation syndrome right upper eyelid
Is H02.511 billable?
Yes — H02.511 is billable for FY2027. H02.511 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H02.511 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H02.511 at a glance
| Code | H02.511 |
|---|---|
| Description | Abnormal innervation syndrome right upper eyelid |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H02.511 group to?
H02.511 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 H02.511 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H02.511. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Syndrome › abnormal innervation › right › upper
Excludes1 — never code together — inherited from H02
The conditions below can never be reported together with H02.511 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 H02.511, but a patient may have both at the same time. When documentation supports it, H02.511 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 H02.511, but a patient may have both at the same time. When documentation supports it, H02.511 and the excluded code may both be reported.
Excludes2 — not included here — inherited from H02.5
The conditions below are not part of H02.511, but a patient may have both at the same time. When documentation supports it, H02.511 and the excluded code may both be reported.
How long has H02.511 existed?
H02.511 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.
What other codes are in the H02.51 family? (6)
- H02.512Abnormal innervation syndrome right lower eyelid
- H02.513Abnormal innervation syndrome right eye, unspecified eyelid
- H02.514Abnormal innervation syndrome left upper eyelid
- H02.515Abnormal innervation syndrome left lower eyelid
- H02.516Abnormal innervation syndrome left eye, unspecified eyelid
- H02.519Abnormal innervation syndrome unspecified eye, unspecified eyelid