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

ICD-10 H57.813

Billable / Specific

Brow ptosis, bilateral

H57
Block
0
Synonyms
142
LCDs
9
Payer Policies
10
Linked CPTs

About ICD-10-CM H57.813

ICD-10-CM code H57.813 represents Brow ptosis, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H57). The 2026 edition of ICD-10-CM H57.813 became effective on October 1, 2025.

Medicare LCD Coverage for H57.813

Local Coverage Determinations (LCDs) from CMS MACs that list H57.813 as a covered diagnosis.

142 LCDs

Showing top 10 of 142 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 H57.813.

9 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, Eyelid Surgery, and Brow Lift
Policy ID: ART-57190

CPT Codes Commonly Billed with H57.813

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

10 linkages
  • 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

ICD-10 H57.813, Billing FAQ

Is ICD-10 code H57.813 billable? +

Yes, H57.813 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 H57.813? +

Procedures frequently paired with H57.813 include: 67906, 67908, 67902, 15823, 67901.

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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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