ICD-10 Code H02.536 – Eyelid Retraction Left Eye, Unspecified Eyelid (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H02.536 – Eyelid retraction left eye, unspecified eyelid
What it is
Use this code for abnormal upward or outward pulling of the left eyelid when the specific eyelid is not documented. It describes a structural eyelid position problem, not a cause or underlying disease.
Clinical signs
Typical findings include visible eyelid retraction, increased scleral show, and a widened palpebral fissure on the left. Clinical features vary; refer to documentation.
When to use this code
Assign H02.536 when the record clearly states left eye eyelid retraction and does not identify the upper or lower eyelid. Use it for diagnosis notes, specialist assessments, or problem lists that specify laterality only. Check documentation if the eyelid is named elsewhere.
Do not use for
Do not use this code when the chart identifies upper or lower eyelid retraction, or when the finding is on the right eye or both eyes. Do not use it for general eyelid deformities without documented retraction.
Coding tip
Confirm both laterality and the exact eyelid in the note before coding, because unspecified eyelid codes are only appropriate when that detail is absent.