2022 ICD-10-CM Code H02.40

Unspecified ptosis of eyelid

Version 2021

Not Valid for Submission

ICD-10:H02.40
Short Description:Unspecified ptosis of eyelid
Long Description:Unspecified ptosis of eyelid

Code Classification

  • Diseases of the eye and adnexa (H00–H59)
    • Disorders of eyelid, lacrimal system and orbit (H00-H05)
      • Other disorders of eyelid (H02)

H02.40 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified ptosis of eyelid. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like H02.40 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding for Unspecified ptosis of eyelid

Non-specific codes like H02.40 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for unspecified ptosis of eyelid:

  • BILLABLE CODE - Use H02.401 for Unspecified ptosis of right eyelid
  • BILLABLE CODE - Use H02.402 for Unspecified ptosis of left eyelid
  • BILLABLE CODE - Use H02.403 for Unspecified ptosis of bilateral eyelids
  • BILLABLE CODE - Use H02.409 for Unspecified ptosis of unspecified eyelid

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H02.40 are found in the index:

Information for Patients


Eyelid Disorders

Your eyelids help protect your eyes. When you blink, your eyelids spread moisture over your eyes. Blinking also helps move dirt or other particles off the surface of the eye. You close your eyelids when you see something coming toward your eyes. This can help protect against injuries.

Like most other parts of your body, your eyelids can get infected, inflamed, or even develop cancer. There are also specific eyelid problems, including

Treatment of eyelid problems depends on the cause.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)