H02.511 ICD-10-CM Code: Abnormal innervation syndrome right upper eyelid

H02.511 is the ICD-10-CM diagnosis code for abnormal innervation syndrome right upper eyelid. A condition affecting the right upper eyelid where the nerve signals controlling the eyelid are abnormal, causing involuntary movements or unusual eyelid behavior. H02.511 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).

H02.511 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.

This code indicates abnormal nerve function; document specific symptoms such as eyelid spasms, synkinesis, or aberrant regeneration.