H02.532
BillableEyelid retraction right lower eyelid
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H02.532 an HCC code?
No. H02.532 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H02.532 is the ICD-10-CM diagnosis code for eyelid retraction right lower eyelid. The lower eyelid on the right eye is pulled upward or outward more than normal, exposing more of the white part of the eye. This can occur due to muscle problems, nerve issues, or conditions like thyroid disease. H02.532 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).
H02.532 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; do not assume - always confirm which eyelid is affected.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H02.532 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; do not assume - always confirm which eyelid is affected
- •Investigate the underlying cause (thyroid eye disease, paralysis, trauma, etc.) as this may require an additional diagnosis code to fully describe the clinical picture