H02.40 ICD-10-CM Code: Unspecified ptosis of eyelid
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Unspecified ptosis of eyelid is a non-billable ICD-10-CM category code (H02.40). A more specific billable subcode must be selected for claims submission.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for H02.40 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- congenital malformations of eyelid (Q10.0-Q10.3)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- open wound of eyelid (S01.1-)
- superficial injury of eyelid (S00.1-, S00.2-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Can H02.40 be billed directly?
No. H02.40 (Unspecified ptosis of eyelid) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H02.40 in its code family, with their registry titles.
- H02.33 — Blepharochalasis right eye, unspecified eyelid
- H02.34 — Blepharochalasis left upper eyelid
- H02.35 — Blepharochalasis left lower eyelid
- H02.36 — Blepharochalasis left eye, unspecified eyelid
- H02.4 — Ptosis of eyelid
- H02.401 — Unspecified ptosis of right eyelid
- H02.402 — Unspecified ptosis of left eyelid
- H02.403 — Unspecified ptosis of bilateral eyelids
- H02.409 — Unspecified ptosis of unspecified eyelid
- H02.41 — Mechanical ptosis of eyelid