ICD-10-CM › H00-H59 › H00-H05 › H02.4 Ptosis of eyelid › H02.42

H02.42

Myogenic ptosis of eyelid

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

  • H02.421 Myogenic ptosis of right eyelid
  • H02.422 Myogenic ptosis of left eyelid
  • H02.423 Myogenic ptosis of bilateral eyelids
  • H02.429 Myogenic ptosis of unspecified eyelid

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Myogenic ptosis of eyelid

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from H02 Other disorders of eyelid

Excludes1 - never coded here

  • congenital malformations of eyelid (Q10.0-Q10.3)

Inherited from the H00-H05 section Disorders of eyelid, lacrimal system and orbit (H00-H05)

Excludes2 - not included here

  • open wound of eyelid (S01.1-)
  • superficial injury of eyelid (S00.1-, S00.2-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
H02.40 Unspecified ptosis of eyelid Not billable
H02.41 Mechanical ptosis of eyelid Not billable
H02.43 Paralytic ptosis of eyelid Not billable