2027 ICD-10-CM Diagnosis Code H02.035Senile entropion of left lower eyelid

ICD-10-CM Codes›H00–H59›H00-H05›H02

ICD-10-CM H02.035
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H02.035 is a billable ICD-10-CM diagnosis code for senile entropion of left lower eyelid. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). Coders also document this condition as bilateral entropion of lower eyelids. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cornea and external disease and Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H02.035
Billable Status
Yes — Valid for Submission
Code Describes
Senile entropion of left lower eyelid
Short Description
Senile entropion of left lower eyelid
Same as the full description in the CMS dataset.
Parent Code
H02.03
Senile entropion of eyelid

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH02Other disorders of eyelid
This CodeH02.035Senile entropion of left lower eyelid

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H02.035.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral entropion of lower eyelids
  • Bilateral senile entropion of eyelids
  • Bilateral senile entropion of lower eyelids
  • Senile entropion of left eyelid
  • Senile entropion of left lower eyelid
  • Senile entropion of lower eyelid
  • Senile entropion of right eyelid
  • Senile entropion of right lower eyelid

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H02.035: its own notes plus those printed at H02, block H00-H05, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H02 Other disorders of eyelid applies to 259 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block H00-H05 Disorders of eyelid, lacrimal system and orbit applies to 574 codes
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE001
Cornea and external disease
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Eyelid Disorders

Eyelid disorders include a variety of conditions that affect your eyelids. Your eyelids protect your eyes and help keep them healthy. When you blink, they spread tears across your eyes and help wash away dirt or dust. You also close your eyelids when something comes near your eyes to protect them from injury.

The full article covers:

  • What are eyelid disorders?
  • What causes eyelid disorders?
  • What are common eyelid disorders?
  • What are the symptoms of eyelid disorders?
  • How are eyelid disorders diagnosed?
  • How are eyelid disorders treated?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H02.035 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
374.01 Senile entropion
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H02.035Overview

What is the ICD-10 code for senile entropion of left lower eyelid?

The ICD-10-CM code for senile entropion of left lower eyelid is H02.035 (sometimes written as H02035). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H02.035 (Senile entropion of eyelid) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report senile entropion of left lower eyelid on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H02.035 group to?

When senile entropion of left lower eyelid is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can H02.035 be reported for?

The Medicare Code Editor checks senile entropion of left lower eyelid against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of H02.035?

Under the General Equivalence Mappings, senile entropion of left lower eyelid converts to ICD-9-CM 374.01 (senile entropion). The mapping is approximate, so confirm the match fits the documentation.