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

ICD-10 H02.59

Billable / Specific

Other disorders affecting eyelid function

H02
Block
2
Synonyms
127
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM H02.59

ICD-10-CM code H02.59 represents Other disorders affecting eyelid function. This is a billable/specific code in the Eye and Adnexa chapter (block H02). The 2026 edition of ICD-10-CM H02.59 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under H02.59. Per CMS ICD-10-CM Tabular 2026.

  • Deficient blink reflex
  • Sensory disorders

Medicare LCD Coverage for H02.59

Local Coverage Determinations (LCDs) from CMS MACs that list H02.59 as a covered diagnosis.

127 LCDs

Showing top 10 of 127 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64646 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 52287 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64616 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64611 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64650 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64647 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT 64612 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT J0585 →
CMS LCD: Billing and Coding: Botulinum Toxins Injections
Article ID: 59725, Effective: , 204 covered, 0 non-covered
CPT J0587 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H02.59.

6 policies

5 Medicare

Billing and Coding: Visual Field Examination
Policy ID: ART-57637
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-59713
Billing and Coding: Botulinum Toxins Injections
Policy ID: ART-59725
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-59727
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-59728

CPT Codes Commonly Billed with H02.59

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

No procedure linkages on file for H02.59

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.

Convert H02.59 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H02.59 37444 10000
H02.59 37445 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H02.59, Billing FAQ

Is ICD-10 code H02.59 billable? +

Yes, H02.59 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to H02.59? +

ICD-10 H02.59 includes: Deficient blink reflex; Sensory disorders.

What ICD-9 codes does H02.59 map to? +

Per CMS GEMs, H02.59 maps to ICD-9 codes: 37444, 37445. 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 June 1, 2026.

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