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H02.413

Billable

Mechanical ptosis of bilateral eyelids

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

What This Code Means

Drooping of both upper eyelids caused by mechanical weakness or structural problems with the eyelid muscles or supporting tissues.

Coding Tips

  • Verify documentation specifies bilateral involvement; if only one side is affected, use a more specific code
  • Mechanical ptosis is often related to age, trauma, or previous eye surgery - review clinical notes for etiology

Code Hierarchy

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