H02.5 is the authoritative medical code for Other disorders affecting eyelid function. This classification is used in medical billing and clinical recording to specify the clinical criteria for other disorders affecting eyelid function (ICD-10-CM H02.5), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Other disorders affecting eyelid function is a non-billable ICD-10-CM category code H02.5. 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): blepharospasm G24.5; organic tic G25.69; psychogenic tic F95.-; open wound of eyelid S01.1-; superficial injury of eyelid (S00.1-, S00.2-).
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for H02.5 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.
- blepharospasm G24.5
- organic tic G25.69
- psychogenic tic F95.-
- open wound of eyelid S01.1-
- superficial injury of eyelid (S00.1-, S00.2-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Can H02.5 be billed directly?
No. H02.5 (Other disorders affecting eyelid function) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
What can't be coded together with H02.5?
Per Excludes1 instructions, H02.5 must not be reported with: congenital malformations of eyelid (Q10.0-Q10.3).
Can H02.5 be reported alongside related conditions?
Per Excludes2 instructions, H02.5 and the following may both be reported when both are present: blepharospasm (G24.5); organic tic (G25.69); psychogenic tic (F95.-); open wound of eyelid (S01.1-).
Codes in This Family (25)
Official ICD-10-CM classifications in the same code family as H02.5, with their registry titles.
- H02.51 — Abnormal innervation syndrome
- H02.511 — Abnormal innervation syndrome right upper eyelid
- H02.512 — Abnormal innervation syndrome right lower eyelid
- H02.513 — Abnormal innervation syndrome right eye, unspecified eyelid
- H02.514 — Abnormal innervation syndrome left upper eyelid
- H02.515 — Abnormal innervation syndrome left lower eyelid
- H02.516 — Abnormal innervation syndrome left eye, unspecified eyelid
- H02.519 — Abnormal innervation syndrome unspecified eye, unspecified eyelid
- H02.52 — Blepharophimosis
- H02.521 — Blepharophimosis right upper eyelid
- H02.522 — Blepharophimosis right lower eyelid
- H02.523 — Blepharophimosis right eye, unspecified eyelid
- H02.524 — Blepharophimosis left upper eyelid
- H02.525 — Blepharophimosis left lower eyelid
- H02.526 — Blepharophimosis left eye, unspecified eyelid
- H02.529 — Blepharophimosis unspecified eye, unspecified lid
- H02.53 — Eyelid retraction
- H02.531 — Eyelid retraction right upper eyelid
- H02.532 — Eyelid retraction right lower eyelid
- H02.533 — Eyelid retraction right eye, unspecified eyelid
- H02.534 — Eyelid retraction left upper eyelid
- H02.535 — Eyelid retraction left lower eyelid
- H02.536 — Eyelid retraction left eye, unspecified eyelid
- H02.539 — Eyelid retraction unspecified eye, unspecified lid
- H02.59 — Other disorders affecting eyelid function
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code H05.5
Retained (old) foreign body following penetrating wound of orbit