{"code":"H02.4","type":"code","title":"Ptosis of eyelid","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["congenital malformations of eyelid (Q10.0-Q10.3)"],"excludes2":["open wound of eyelid (S01.1-)","superficial injury of eyelid (S00.1-, S00.2-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["H02.40","H02.401","H02.402","H02.403","H02.409","H02.411","H02.412","H02.413","H02.419","H02.42","H02.421","H02.422","H02.423","H02.429","H02.43","H02.431","H02.432","H02.433","H02.439"],"inclusionTerms":[],"sibling_titles":{"code":"H02.439","title":"Paralytic ptosis unspecified eyelid","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Ptosis of eyelid is a non-billable ICD-10-CM category code (H02.4). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): congenital malformations of eyelid (Q10.0-Q10.3). Excludes2 (not included here): open wound of eyelid (S01.1-); superficial injury of eyelid (S00.1-, S00.2-).","officialDefinition":"Ptosis of eyelid is a non-billable ICD-10-CM category code (H02.4). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): congenital malformations of eyelid (Q10.0-Q10.3). Excludes2 (not included here): open wound of eyelid (S01.1-); superficial injury of eyelid (S00.1-, S00.2-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}