H02.851 — Elephantiasis of right upper eyelid
H02.851 is a billable, specific ICD-10-CM code for elephantiasis of right upper eyelid. It is valid for submission on a claim.
Risk adjustment
H02.851 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H02.851 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57068Billing and Coding: Ocular Photography - External
- A57637Billing and Coding: Visual Field Examination
How H02.851 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H02.851.
- Elephantiasis›eyelid›right›upper
Related codes at this level
Codes that share H02.85. If H02.851 is not quite right, the correct code is usually one of these.
Questions about H02.851
- Is H02.851 a billable ICD-10-CM code?
- Yes. H02.851 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H02.851 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).