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H02.401 vs H02.402

H02.401 (Unspecified ptosis of right eyelid) compared with H02.402 (Unspecified ptosis of left eyelid), from the official CMS tabular data. H02.401 and H02.402 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H02.401
Right
Unspecified ptosis of right eyelid
H02.402
Left
Unspecified ptosis of left 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. H02.401 and H02.402 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

H02.401Unspecified ptosis of right eyelidH02.402Unspecified ptosis of left eyelid
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionUnspecified ptosis of right eyelid is a billable ICD-10-CM diagnosis code (H02.401).Unspecified ptosis of left eyelid is a billable ICD-10-CM diagnosis code (H02.402).

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