2026 ICD-10-CM Diagnosis Code H01.85Other specified inflammation of left lower eyelid

ICD-10-CM Codes›H00–H59›H00-H05›H01

ICD-10-CM H01.85
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H01.85 is a billable ICD-10-CM diagnosis code for other specified inflammation of left lower eyelid. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125.

Code Identity

ICD-10-CM Code
H01.85
Billable Status
Yes — Valid for Submission
Code Describes
Other specified inflammation of left lower eyelid
Short Description
Other specified inflammation of left lower eyelid
Same as the full description in the CMS dataset.
Parent Code
H01.8
Other specified inflammations of eyelid

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH01Other inflammation of eyelid
This CodeH01.85Other specified inflammation of left lower eyelid

Code History & ChangesHistory

New Code H01.85 was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.

Replacement H01.85 replaces the following previously assigned code(s):

  • H01.8 - Other specified inflammations of eyelid
FY 2026AddedAdded to the ICD-10-CM code setEffective October 1, 2025.
FY 2026CurrentRevised in the current code setEffective October 1, 2025 through September 30, 2026.

Questions About H01.85Overview

Is H01.85 (Other specified inflammations of eyelid) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified inflammation of left lower eyelid on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H01.85 group to?

When other specified inflammation of left lower eyelid is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.