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H02.419

Billable

Mechanical 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 mechanical weakness or structural problems, but the specific eyelid affected is not documented.

Coding Tips

  • This is a less specific code; attempt to clarify which eyelid(s) are affected from clinical documentation
  • If laterality cannot be determined, this code is appropriate, but query provider when possible for specificity

Code Hierarchy

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