What is ICD-10 code H02.532?

H02.532 is the ICD-10-CM diagnosis code for Eyelid retraction right lower eyelid. It belongs to the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59). H02.532 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. H02.532 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. H02.532 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. H02.532 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does H02.532 map to under V28?

H02.532 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

What RAF reference is published for H02.532?

H02.532 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

What is the V28 vs V24 difference for H02.532?

H02.532 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

2026 ICD-10-CM H02.532: Eyelid retraction right lower eyelid

H02.532 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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Code lookupH02.532Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of eyelid, lacrimal system and orbit (H00-H05)

H02.532

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

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.

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

H02.5Other disorders affecting eyelid function

H02.53Eyelid retraction

H02.532Eyelid retraction right lower eyelid

Inclusion Terms

Official

Eyelid lag

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H02.532 in this effective period.

Related Child Codes

Official

H02.531Eyelid retraction right upper eyelid

H02.533Eyelid retraction right eye, unspecified eyelid

H02.534Eyelid retraction left upper eyelid

H02.535Eyelid retraction left lower eyelid

H02.536Eyelid retraction left eye, unspecified eyelid

Includes

Official

ICD-10-CM does not list Includes notes for H02.532 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H02.532 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H02.532 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H02.532 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H02.532 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

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

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is H02.532 an HCC code?

No. H02.532 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code: H02.532
Description: Eyelid retraction right lower eyelid
HCC (V28): No CMS-HCC V28 mapping
RAF reference coefficient: —
Billable: Yes
Payment year: 2026

Coder workflow notes

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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 the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

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, source-labeled coefficient references, 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