2026 ICD-10-CM Diagnosis Code H57.813Brow ptosis, bilateral

ICD-10-CM Codes›H00–H59›H55-H57›H57

ICD-10-CM H57.813
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H57.813 is a billable ICD-10-CM diagnosis code for brow ptosis, bilateral. 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
H57.813
Billable Status
Yes — Valid for Submission
Code Describes
Brow ptosis, bilateral
Short Description
Brow ptosis, bilateral
Same as the full description in the CMS dataset.
Parent Code
H57.81
Brow ptosis

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH55-H57Other disorders of eye and adnexa
CategoryH57Other disorders of eye and adnexa
This CodeH57.813Brow ptosis, bilateral

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.

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Code History & ChangesHistory

Replacement H57.813 replaces the following previously assigned code(s):

  • H57.8 - Other specified disorders of eye and adnexa
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H57.813Overview

Is H57.813 (Brow ptosis) a billable code?

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

What MS-DRG does H57.813 group to?

When brow ptosis, bilateral 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.

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.