2026 ICD-10-CM Diagnosis Code H02.423Myogenic ptosis of bilateral eyelids

ICD-10-CM Codes›H00–H59›H00-H05›H02

ICD-10-CM H02.423
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H02.423 is a billable ICD-10-CM diagnosis code for myogenic ptosis of bilateral eyelids. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as bilateral myogenic ptosis of eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H02.423
Billable Status
Yes — Valid for Submission
Code Describes
Myogenic ptosis of bilateral eyelids
Short Description
Myogenic ptosis of bilateral eyelids
Same as the full description in the CMS dataset.
Parent Code
H02.42
Myogenic ptosis of eyelid

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH02Other disorders of eyelid
This CodeH02.423Myogenic ptosis of bilateral eyelids

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral myogenic ptosis of eyes
  • Bilateral ptosis of upper eyelids
  • Myogenic ptosis
  • Myogenic ptosis of left eye
  • Myogenic ptosis of right eye

Clinical ClassificationClinical

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

CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert H02.423 to ICD-9-CMHistory

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

ICD-9-CM
374.32 Myogenic ptosis
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H02.423Overview

Is H02.423 (Myogenic ptosis of eyelid) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report myogenic ptosis of bilateral eyelids on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of H02.423?

Under the General Equivalence Mappings, myogenic ptosis of bilateral eyelids converts to ICD-9-CM 374.32 (myogenic ptosis). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.