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H02.001 vs H02.004

H02.001 (Unspecified entropion of right upper eyelid) compared with H02.004 (Unspecified entropion of left upper eyelid), from the official CMS tabular data. H02.001 and H02.004 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H02.001
Right
Unspecified entropion of right upper eyelid
H02.004
Left
Unspecified entropion of left upper eyelid

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H02.001 and H02.004 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H02.001Unspecified entropion of right upper eyelidH02.004Unspecified entropion of left upper eyelid
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionUnspecified entropion of right upper eyelid is a billable ICD-10-CM diagnosis code (H02.001).Unspecified entropion of left upper eyelid is a billable ICD-10-CM diagnosis code (H02.004).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources