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H02.409

Billable

Unspecified ptosis of unspecified eyelid

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

What This Code Means

Drooping of an eyelid due to an unspecified cause when the specific eye or eyelid is not documented.

Coding Tips

  • This is the least specific ptosis code; use only when laterality cannot be determined from documentation
  • Query the provider to clarify which eye is affected to allow for more specific coding

Code Hierarchy

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