ICD-10 Code H02.432 – Paralytic ptosis of left eyelid (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Paralytic ptosis of left eyelid is H02.432.
2026 ICD-10-CM Diagnosis Code H02.432 – Paralytic ptosis of left eyelid

What it is

H02.432 identifies drooping of the left upper eyelid caused by paralysis of the eyelid elevator muscles or their nerve supply. The eyelid position is low enough to affect the eye’s opening.

Clinical signs

You may see unilateral left eyelid droop with reduced lid elevation. Clinical features vary; refer to documentation for the underlying neurologic cause or associated eye findings.

When to use this code

Use this code when the record specifically documents paralytic ptosis affecting the left eyelid. It fits cases where the provider links the ptosis to paralysis, paresis, or a neurologic injury. Check documentation if laterality or cause is unclear.

Do not use for

Do not use this code for unspecified ptosis, congenital ptosis, or mechanical eyelid droop. If the note does not confirm paralysis or left-sided involvement, check documentation.

Coding tip

Confirm both laterality and paralytic etiology in the provider note before assigning H02.432.

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