H02.151
BillableParalytic ectropion of right upper eyelid
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.151 an HCC code?
No. H02.151 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H02.151 is the ICD-10-CM diagnosis code for paralytic ectropion of right upper eyelid. The right upper eyelid turns outward due to nerve damage or muscle weakness, causing the lid to droop away from the eye. H02.151 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of eyelid, lacrimal system and orbit (h00-h05).
H02.151 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Paralytic ectropion is typically associated with facial nerve palsy or other neurological conditions; document the underlying cause if present.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.151 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Paralytic ectropion is typically associated with facial nerve palsy or other neurological conditions; document the underlying cause if present
- •Verify the distinction between paralytic (nerve-related) and spastic (muscle spasm-related) ectropion