Eyelid retraction right upper eyelid

This code signifies an abnormal elevation or upward displacement of the right upper eyelid, exposing more of the globe than usual. This condition can be a symptom of various underlying medical issues, such as thyroid eye disease, facial nerve palsy, or post-surgical complications.

Use this code when documentation clearly indicates retraction of the right upper eyelid. This typically involves a physical exam finding of an abnormally high eyelid margin, often with associated scleral show. Supporting documentation should specify the laterality and location (upper eyelid).

• Differentiate from ptosis (drooping eyelid); this code represents the opposite condition.
• Always specify laterality (right, left, bilateral) and eyelid (upper, lower) when documented.
• Look for underlying causes of eyelid retraction, such as endocrine disorders (e.g., Graves' ophthalmopathy), and code them as primary diagnoses when appropriate.