ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H02.21C

Billable / Specific

Cicatricial lagophthalmos, bilateral, upper and lower eyelids

H02
Block
0
Synonyms
101
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM H02.21C

ICD-10-CM code H02.21C represents Cicatricial lagophthalmos, bilateral, upper and lower eyelids. This is a billable/specific code in the Eye and Adnexa chapter (block H02). The 2026 edition of ICD-10-CM H02.21C became effective on October 1, 2025.

Medicare LCD Coverage for H02.21C

Local Coverage Determinations (LCDs) from CMS MACs that list H02.21C as a covered diagnosis.

101 LCDs

Showing top 10 of 101 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67908 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67915 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67921 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67922 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 15823 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67909 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67917 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67923 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67903 →
CMS LCD: Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Article ID: 57025, Effective: 2025-01-01 00:00:00, 109 covered, 1 non-covered
CPT 67902 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H02.21C.

6 policies

5 Medicare

Billing and Coding: Blepharoplasty
Policy ID: ART-56439
Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
Policy ID: ART-56503
Billing and Coding: Blepharoplasty, Blepharoptosis and Brow Lift
Policy ID: ART-56908
Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Policy ID: ART-57025
Billing and Coding: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
Policy ID: ART-57618

CPT Codes Commonly Billed with H02.21C

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H02.21C

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 H02.21C, Billing FAQ

Is ICD-10 code H02.21C billable? +

Yes, H02.21C is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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