2022 ICD-10-CM Diagnosis Code H02.4: Ptosis Of Eyelid

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2026

  1. ICD-10-CM Codes
    2. ›
  2. H00-H59
    3. ›
  3. H00-H05
    4. ›
  4. H02-
    5. ›
  5. 2026 ICD-10-CM Diagnosis Code H02.4
2026 ICD-10-CM Diagnosis Code H02.4

Ptosis of eyelid

    2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Non-Billable/Non-Specific Code
  • H02.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2026 edition of ICD-10-CM H02.4 became effective on October 1, 2025.
  • This is the American ICD-10-CM version of H02.4 - other international versions of ICD-10 H02.4 may differ.
The following code(s) above H02.4 contain annotation back-referencesAnnotation Back-ReferencesIn this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H02.4:
  • H00-H59 2026 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexaNote
    • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
    Type 2 Excludes
    • 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)
    Diseases of the eye and adnexa

  • H00-H05 2026 ICD-10-CM Range H00-H05

    Disorders of eyelid, lacrimal system and orbitType 2 Excludes
    • open wound of eyelid (S01.1-)
    • superficial injury of eyelid (S00.1-, S00.2-)
    Disorders of eyelid, lacrimal system and orbit

  • H02 ICD-10-CM Diagnosis Code H02

    Other disorders of eyelid

      2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital malformations of eyelid (Q10.0-Q10.3)
    Other disorders of eyelid
Clinical Information
  • Drooping of the upper eyelid.
  • Drooping of the upper lid due to deficient development or paralysis of the levator palpebrae muscle.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change
  • 2025 (effective 10/1/2024): No change
  • 2026 (effective 10/1/2025): No change
ICD-10-CM Codes Adjacent To H02.4 H02.23B …… left eye, upper and lower eyelids H02.23C …… bilateral, upper and lower eyelids H02.3 Blepharochalasis H02.30 …… unspecified eye, unspecified eyelid H02.31 …… right upper eyelid H02.32 …… right lower eyelid H02.33 …… right eye, unspecified eyelid H02.34 …… left upper eyelid H02.35 …… left lower eyelid H02.36 …… left eye, unspecified eyelid H02.4 Ptosis of eyelid H02.40 Unspecified ptosis of eyelid H02.401 Unspecified ptosis of right eyelid H02.402 Unspecified ptosis of left eyelid H02.403 Unspecified ptosis of bilateral eyelids H02.409 Unspecified ptosis of unspecified eyelid H02.41 Mechanical ptosis of eyelid H02.411 Mechanical ptosis of right eyelid H02.412 Mechanical ptosis of left eyelid H02.413 Mechanical ptosis of bilateral eyelids H02.419 Mechanical ptosis of unspecified eyelid

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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