2026 ICD-10-CM Diagnosis Code H02.9Unspecified disorder of eyelid

ICD-10-CM CodesH00–H59H00-H05H02

ICD-10-CM H02.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H02.9 is a billable ICD-10-CM diagnosis code for unspecified disorder of 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
H02.9
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified disorder of eyelid
Short Description
Unspecified disorder of eyelid
Same as the full description in the CMS dataset.
Parent Code
Other disorders of eyelid

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH02Other disorders of eyelid
This CodeH02.9Unspecified disorder of eyelid

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral lesion of canthi
  • Bilateral lesion of lower eyelids
  • Bilateral lesion of upper eyelids
  • Defect of lid tissue
  • Disorder of eyelid
  • Disorder of eyelid caused by radiation
  • Disorder of skin of bilateral eyelids
  • Disorder of skin of left eyelid
  • Disorder of skin of right eyelid
  • Lesion of bilateral eyelids
  • Lesion of left canthus
  • Lesion of left eyelid
  • Lesion of left lower eyelid
  • Lesion of left upper eyelid
  • Lesion of lower eyelid
  • Lesion of right canthus
  • Lesion of right eyelid
  • Lesion of right lower eyelid
  • Lesion of right upper eyelid
  • Lesion of upper eyelid

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Disorder of eyelid NOS

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.

    • Disorder(of)
      • eyelid

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 H02.9 to ICD-9-CMHistory

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

ICD-9-CM
374.9 Disorder of eyelid NOS
Exact Match The mapping is direct, with no qualifiers.

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 H02.9Overview

Is H02.9 (Other disorders of eyelid) a billable code?

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

What MS-DRG does H02.9 group to?

When unspecified disorder of 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 H02.9?

Under the General Equivalence Mappings, unspecified disorder of eyelid converts to ICD-9-CM 374.9 (disorder of eyelid NOS). The mapping is a direct match.

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.