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H02.814 ICD-10-CM Code: Retained foreign body in left upper eyelid

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 Excludes1 · 2 Excludes2 · 1 use-additional code

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Use additional codeReport with this code when documented
  • code to identify the type of retained foreign body (Z18.-)
Excludes1Never report with this code
  • laceration of eyelid with foreign body (S01.12-)
  • retained intraocular foreign body (H44.6-, H44.7-)
  • superficial foreign body of eyelid and periocular area (S00.25-)
  • congenital malformations of eyelid (Q10.0-Q10.3)
Excludes2Not included here; may be reported together

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 124 — OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT (MDC 02)
  • MS-DRG 125 — OTHER DISORDERS OF THE EYE WITHOUT MCC (MDC 02)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H02.814 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on H02.814 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from H00-H05

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify the type of retained foreign body (Z18.-)

Source: inherited from H02.81

Coder workflow for H02.814

MedCoder structured workflow — derived from this code’s own official record

Before you code H02.814

  1. Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: left). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).

    ReviewH02.811 · right

    Guide: Laterality coding →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with H02.814. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in H02.814’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewS01.12, H44.6, H44.7, S00.25

  2. Is the side documented?
    Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
    No → Use the unspecified-side code only when the record states no side; a query is the alternative.

    ReviewH02.811 · right

Consider H02.814. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Laterality
Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes1 — check before selecting H02.814(4 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with H02.814: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareS01.12, H44.6, H44.7, S00.25

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of H02.814(2 notes)

    Coding workflow: The conditions named in this note are not included in H02.814. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareS01.1, S00.1, S00.2

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying H02.814(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with H02.814 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewZ18

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition H02.814 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewS01.12, H44.6, H44.7, S00.25

Documentation: The record documents the condition on one side only.

Coding question: Which code in this family applies?

Path: Select the sibling code for the documented side.

Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).

ReviewH02.811 · right

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with H02.814?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewZ18

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse H02.814 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of H02.814 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • S01.12— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of laceration of eyelid with foreign body moves the case to S01.12; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs S01.12 →

  • H44.6— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of retained intraocular foreign body moves the case to H44.6; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs H44.6 →

  • H44.7— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of retained intraocular foreign body moves the case to H44.7; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs H44.7 →

  • S00.25— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of superficial foreign body of eyelid and periocular area moves the case to S00.25; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs S00.25 →

  • Q10.0— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of congenital malformations of eyelid moves the case to Q10.0; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs Q10.0 →

  • Q10.3— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of congenital malformations of eyelid moves the case to Q10.3; the two are not reported together unless documented as unrelated.

    Full comparison: H02.814 vs Q10.3 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Retained foreign body in left upper eyelid is a billable ICD-10-CM diagnosis code (H02.814).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
  2. 1 Use Additional Code instruction — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  3. 4 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  4. 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name H02.814 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 5 Excludes2 notes across 2 chapters: H05.5 — Retained (old) foreign body following penetrating wound of orbit (via H02.81.-), H44.6 — Retained (old) intraocular foreign body, magnetic (via H02.81.-), H44.7 — Retained (old) intraocular foreign body, nonmagnetic (via H02.81.-), S00.25 — Superficial foreign body of eyelid and periocular area (via H02.81.-), T15 — Foreign body on external eye (via H02.8.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 124 (MDC 02), DRG 125 (MDC 02).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):EYE008 — Oculofacial plastics and orbital conditions (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

H02.811 — Retained foreign body in right upper eyelidCompare H02.814 vs H02.811 →

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Oculofacial plastics and orbital conditions).

+527 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Foreign body”; these codes share that main term but sit in a different category of the Tabular List.

H05.5 — Retained (old) foreign body following penetrating wound of orbit (orbit, old, retained), H44.60 — Unspecified retained (old) intraocular foreign body, magnetic (intraocular, old, retained, magnetic), H44.61 — Retained (old) magnetic foreign body in anterior chamber (intraocular, old, retained, magnetic, anterior chamber), H44.62 — Retained (old) magnetic foreign body in iris or ciliary body (intraocular, old, retained, magnetic, iris), H44.63 — Retained (old) magnetic foreign body in lens (intraocular, old, retained, magnetic, lens), H44.64 — Retained (old) magnetic foreign body in posterior wall of globe (intraocular, old, retained, magnetic, posterior wall), H44.65 — Retained (old) magnetic foreign body in vitreous body (intraocular, old, retained, magnetic, vitreous body), H44.69 — Retained (old) intraocular foreign body, magnetic, in other or multiple sites (intraocular, old, retained, magnetic, specified site NEC), H44.70 — Unspecified retained (old) intraocular foreign body, nonmagnetic (intraocular, old, retained), H44.71 — Retained (nonmagnetic) (old) foreign body in anterior chamber (intraocular, old, retained, anterior chamber), H44.72 — Retained (nonmagnetic) (old) foreign body in iris or ciliary body (intraocular, old, retained, iris), H44.73 — Retained (nonmagnetic) (old) foreign body in lens (intraocular, old, retained, lens), H44.74 — Retained (nonmagnetic) (old) foreign body in posterior wall of globe (intraocular, old, retained, posterior wall), H44.75 — Retained (nonmagnetic) (old) foreign body in vitreous body (intraocular, old, retained, vitreous body), H44.79 — Retained (old) intraocular foreign body, nonmagnetic, in other or multiple sites (intraocular, old, retained, specified site NEC), L92.3 — Foreign body granuloma of the skin and subcutaneous tissue (granuloma, skin), M79.5 — Residual foreign body in soft tissue (in, soft tissue), R09.A2 — Foreign body sensation, throat (feeling of, in throat), S00.05 — Superficial foreign body of scalp (superficial, without open wound, scalp), S00.25 — Superficial foreign body of eyelid and periocular area (superficial, without open wound, eyelid), +173 more

Contextual Map

Every relationship of H02.814 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run H02.814 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 02 — Diseases and Disorders of the Eye[MDC crossing]: “Diseases and Disorders of the Eye — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,200 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Foreign body, retained (old) (nonmagnetic) (in), eyelid, left, upper[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "H02.814 — Retained foreign body in left upper eyelid." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/h02.814-retained-foreign-body-in-left-upper-eyelid

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Retained foreign body in left upper eyelid

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H02.814 in its code family, with their registry titles.

View all codes in the H02 family