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H02.213 vs H02.216

H02.213 (Cicatricial lagophthalmos right eye, unspecified eyelid) compared with H02.216 (Cicatricial lagophthalmos left eye, unspecified eyelid), from the official CMS tabular data. H02.213 and H02.216 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H02.213
Right
Cicatricial lagophthalmos right eye, unspecified eyelid
H02.216
Left
Cicatricial lagophthalmos left eye, unspecified 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. H02.213 and H02.216 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

H02.213Cicatricial lagophthalmos right eye, unspecified eyelidH02.216Cicatricial lagophthalmos left eye, unspecified eyelid
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionCicatricial lagophthalmos right eye, unspecified eyelid is a billable ICD-10-CM diagnosis code (H02.213).Cicatricial lagophthalmos left eye, unspecified eyelid is a billable ICD-10-CM diagnosis code (H02.216).

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