ICD-10 Code H02.5 – Other disorders affecting eyelid function (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H02.5 – Other disorders affecting eyelid function
What it is
H02.5 identifies eyelid function problems that do not fit a more specific eyelid diagnosis. It is used when the eyelid is not working normally, but the exact disorder is not otherwise classified.
Clinical signs
Clinical features vary; refer to documentation. Findings may include abnormal eyelid movement, impaired closure, or other functional eyelid changes noted on examination.
When to use this code
Use H02.5 when the provider documents a nonspecific disorder affecting eyelid function and no more precise code is available. It may apply when the chart describes eyelid dysfunction without naming ptosis, entropion, ectropion, or another specific condition. Check documentation for the exact diagnosis.
Do not use for
Do not use this code when the record identifies a specific eyelid disorder with its own ICD-10 code. Avoid it for simple eyelid swelling, infection, trauma, or cosmetic concerns unless documentation clearly states functional disorder.
Coding tip
Code the most specific eyelid diagnosis documented; use H02.5 only when the provider’s wording remains nonspecific.