2026 ICD-10-CM Diagnosis Code H02.515Abnormal innervation syndrome left lower eyelid

ICD-10-CM Codes›H00–H59›H00-H05›H02

ICD-10-CM H02.515
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H02.515 is a billable ICD-10-CM diagnosis code for abnormal innervation syndrome 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H02.515
Billable Status
Yes — Valid for Submission
Code Describes
Abnormal innervation syndrome left lower eyelid
Short Description
Abnormal innervation syndrome left lower eyelid
Same as the full description in the CMS dataset.
Parent Code
H02.51
Abnormal innervation syndrome

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH02Other disorders of eyelid
This CodeH02.515Abnormal innervation syndrome left lower eyelid

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Syndrome
      • abnormal innervation
        • left
          • lower

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 H02.515 to ICD-9-CMHistory

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

ICD-9-CM
374.43 Abnorm innervation synd
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 H02.515Overview

Is H02.515 (Abnormal innervation syndrome) a billable code?

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

What MS-DRG does H02.515 group to?

When abnormal innervation syndrome 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.

What is the ICD-9 equivalent of H02.515?

Under the General Equivalence Mappings, abnormal innervation syndrome left lower eyelid converts to ICD-9-CM 374.43 (abnorm innervation synd). 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.