ICD-10 H02.431
Billable / SpecificParalytic ptosis of right eyelid
About ICD-10-CM H02.431
ICD-10-CM code H02.431 represents Paralytic ptosis of right eyelid. This is a billable/specific code in the Eye and Adnexa chapter (block H02). The 2026 edition of ICD-10-CM H02.431 became effective on October 1, 2025.
Medicare LCD Coverage for H02.431
Local Coverage Determinations (LCDs) from CMS MACs that list H02.431 as a covered diagnosis.
Showing top 10 of 445 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H02.431.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with H02.431
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 67906 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67908 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67902 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 15823 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67901 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67904 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67903 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67900 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 15822 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
- 67909 CMS LCD: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift CMS LCD
Convert H02.431 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H02.431 | 37431 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H02.431
Other codes in section H00-H05 (Disorders of eyelid, lacrimal system and orbit).
ICD-10 H02.431, Billing FAQ
Is ICD-10 code H02.431 billable? +
Yes, H02.431 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with H02.431? +
Procedures frequently paired with H02.431 include: 67906, 67908, 67902, 15823, 67901.
What ICD-9 codes does H02.431 map to? +
Per CMS GEMs, H02.431 maps to ICD-9 codes: 37431. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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