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H02.232 ICD-10-CM Code: Paralytic lagophthalmos right lower eyelid

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)

H02.232

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Paralytic lagophthalmos right lower eyelid

This condition occurs when the right lower eyelid cannot close properly due to muscle weakness or nerve damage, preventing the eye from being fully covered during blinking or sleep. This can lead to dry eye and potential corneal damage if left untreated.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H02.2Lagophthalmos
H02.23Paralytic lagophthalmos
H02.232Paralytic lagophthalmos right lower eyelid

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H02.232 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H02.232 in this effective period.

Related Child Codes

Official
H02.231Paralytic lagophthalmos right upper eyelid
H02.233Paralytic lagophthalmos right eye, unspecified eyelid
H02.234Paralytic lagophthalmos left upper eyelid
H02.235Paralytic lagophthalmos left lower eyelid
H02.236Paralytic lagophthalmos left eye, unspecified eyelid

Includes

Official

ICD-10-CM does not list Includes notes for H02.232 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H02.232 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H02.232 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H02.232 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H02.232 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify laterality is documented as right lower eyelid; if bilateral or affecting both upper and lower lids, use different codes (H02.231 for right upper, H02.233 for left upper, H02.234 for left lower)
Ensure the paralytic nature is confirmed in documentation; if lagophthalmos is due to other causes (mechanical, cicatricial), different codes apply

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is H02.232 an HCC code?

No. H02.232 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

H02.232 is the ICD-10-CM diagnosis code for paralytic lagophthalmos right lower eyelid. This condition occurs when the right lower eyelid cannot close properly due to muscle weakness or nerve damage, preventing the eye from being fully covered during blinking or sleep. This can lead to dry eye and potential corneal damage if left untreated. H02.232 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).

H02.232 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.

Verify laterality is documented as right lower eyelid; if bilateral or affecting both upper and lower lids, use different codes (H02.231 for right upper, H02.233 for left upper, H02.234 for left lower).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.232 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify laterality is documented as right lower eyelid; if bilateral or affecting both upper and lower lids, use different codes (H02.231 for right upper, H02.233 for left upper, H02.234 for left lower)
  • Ensure the paralytic nature is confirmed in documentation; if lagophthalmos is due to other causes (mechanical, cicatricial), different codes apply

Child Codes

Code Hierarchy

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