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07.13.07l
A
07.13.07l
ICD-10-CM codes
Corneal Pachymetry Using Ultrasound


H18.11Bullous keratopathy, right eye
H18.12Bullous keratopathy, left eye
H18.13Bullous keratopathy, bilateral
H18.20Unspecified corneal edema
H18.211Corneal edema secondary to contact lens, right eye
H18.212Corneal edema secondary to contact lens, left eye
H18.213Corneal edema secondary to contact lens, bilateral
H18.221
Idiopathic corneal edema, right eye
H18.222Idiopathic corneal edema, left eye
H18.223Idiopathic corneal edema, bilateral
H18.231
Secondary corneal edema, right eye
H18.232Secondary corneal edema, left eye
H18.233Secondary corneal edema, bilateral
H18.501
Unspecified hereditary corneal dystrophies, right eye
H18.502Unspecified hereditary corneal dystrophies, left eye
H18.503Unspecified hereditary corneal dystrophies, bilateral
H18.511
Endothelial corneal dystrophy, right eye
H18.512Endothelial corneal dystrophy, left eye
H18.513Endothelial corneal dystrophy, bilateral
H18.521
Epithelial (juvenile) corneal dystrophy, right eye
H18.522Epithelial (juvenile) corneal dystrophy, left eye
H18.523Epithelial (juvenile) corneal dystrophy, bilateral
H18.531
Granular corneal dystrophy, right eye
H18.532Granular corneal dystrophy, left eye
H18.533Granular corneal dystrophy, bilateral
H18.541
Lattice corneal dystrophy, right eye
H18.542Lattice corneal dystrophy, left eye
H18.543Lattice corneal dystrophy, bilateral
H18.551
Macular corneal dystrophy, right eye
H18.552Macular corneal dystrophy, left eye
H18.553Macular corneal dystrophy, bilateral
H18.591
Other hereditary corneal dystrophies, right eye
H18.592Other hereditary corneal dystrophies, left eye
H18.593Other hereditary corneal dystrophies, bilateral
H18.601
Keratoconus, unspecified, right eye
H18.602Keratoconus, unspecified, left eye
H18.603Keratoconus, unspecified, bilateral
H18.611
Keratoconus, stable, right eye
H18.612Keratoconus, stable, left eye
H18.613Keratoconus, stable, bilateral
H18.621
Keratoconus, unstable, right eye
H18.622Keratoconus, unstable, left eye
H18.623Keratoconus, unstable, bilateral
H18.70
Unspecified corneal deformity
H18.711Corneal ectasia, right eye
H18.712Corneal ectasia, left eye
H18.713Corneal ectasia, bilateral
H18.791
Other corneal deformities, right eye
H18.792Other corneal deformities, left eye
H18.793Other corneal deformities, bilateral
H21.551
Recession of chamber angle, right eye
H21.552Recession of chamber angle, left eye
H21.553Recession of chamber angle, bilateral
H40.001
Preglaucoma, unspecified, right eye
H40.002Preglaucoma, unspecified, left eye
H40.003Preglaucoma, unspecified, bilateral
H40.011
Open angle with borderline findings, low risk, right eye
H40.012Open angle with borderline findings, low risk, left eye
H40.013Open angle with borderline findings, low risk, bilateral
H40.021
Open angle with borderline findings, high risk, right eye
H40.022Open angle with borderline findings, high risk, left eye
H40.023Open angle with borderline findings, high risk, bilateral
H40.031
Anatomical narrow angle, right eye
H40.032Anatomical narrow angle, left eye
H40.033Anatomical narrow angle, bilateral
H40.041
Steroid responder, right eye
H40.042Steroid responder, left eye
H40.043Steroid responder, bilateral
H40.051
Ocular hypertension, right eye
H40.052Ocular hypertension, left eye
H40.053Ocular hypertension, bilateral
H40.061
Primary angle closure without glaucoma damage, right eye
H40.062Primary angle closure without glaucoma damage, left eye
H40.063Primary angle closure without glaucoma damage, bilateral
H40.10x0
Unspecified open-angle glaucoma, stage unspecified
H40.10x1Unspecified open-angle glaucoma, mild stage
H40.10x2Unspecified open-angle glaucoma, moderate stage
H40.10x3Unspecified open-angle glaucoma, severe stage
H40.10x4Unspecified open-angle glaucoma, indeterminate stage
H40.1110Primary open-angle glaucoma, right eye, stage unspecified
H40.1111Primary open-angle glaucoma, right eye, mild stage
H40.1112Primary open-angle glaucoma, right eye, moderate stage
H40.1113Primary open-angle glaucoma, right eye, severe stage
H40.1114Primary open-angle glaucoma, right eye, indeterminate stage
H40.1120Primary open-angle glaucoma, left eye, stage unspecified
H40.1121Primary open-angle glaucoma, left eye, mild stage
H40.1122Primary open-angle glaucoma, left eye, moderate stage
H40.1123Primary open-angle glaucoma, left eye, severe stage
H40.1124Primary open-angle glaucoma, left eye, indeterminate stage
H40.1130Primary open-angle glaucoma, bilateral, stage unspecified
H40.1131Primary open-angle glaucoma, bilateral, mild stage
H40.1132Primary open-angle glaucoma, bilateral, moderate stage
H40.1133Primary open-angle glaucoma, bilateral, severe stage
H40.1134Primary open-angle glaucoma, bilateral, indeterminate stage
H40.1210
Low-tension glaucoma, right eye, stage unspecified
H40.1211Low-tension glaucoma, right eye, mild stage
H40.1212Low-tension glaucoma, right eye, moderate stage
H40.1213Low-tension glaucoma, right eye, severe stage
H40.1214Low-tension glaucoma, right eye, indeterminate stage
H40.1220Low-tension glaucoma, left eye, stage unspecified
H40.1221Low-tension glaucoma, left eye, mild stage
H40.1222Low-tension glaucoma, left eye, moderate stage
H40.1223Low-tension glaucoma, left eye, severe stage
H40.1224Low-tension glaucoma, left eye, indeterminate stage
H40.1230Low-tension glaucoma, bilateral, stage unspecified
H40.1231Low-tension glaucoma, bilateral, mild stage
H40.1232Low-tension glaucoma, bilateral, moderate stage
H40.1233Low-tension glaucoma, bilateral, severe stage
H40.1234Low-tension glaucoma, bilateral, indeterminate stage
H40.1310
Pigmentary glaucoma, right eye, stage unspecified
H40.1311Pigmentary glaucoma, right eye, mild stage
H40.1312Pigmentary glaucoma, right eye, moderate stage
H40.1313Pigmentary glaucoma, right eye, severe stage
H40.1314Pigmentary glaucoma, right eye, indeterminate stage
H40.1320Pigmentary glaucoma, left eye, stage unspecified
H40.1321Pigmentary glaucoma, left eye, mild stage
H40.1322Pigmentary glaucoma, left eye, moderate stage
H40.1323Pigmentary glaucoma, left eye, severe stage
H40.1324Pigmentary glaucoma, left eye, indeterminate stage
H40.1330Pigmentary glaucoma, bilateral, stage unspecified
H40.1331Pigmentary glaucoma, bilateral, mild stage
H40.1332Pigmentary glaucoma, bilateral, moderate stage
H40.1333Pigmentary glaucoma, bilateral, severe stage
H40.1334Pigmentary glaucoma, bilateral, indeterminate stage
H40.1410
Capsular glaucoma with pseudoexfoliation of lens, right eye, stage unspecified
H40.1411Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage
H40.1412Capsular glaucoma with pseudoexfoliation of lens, right eye, moderate stage
H40.1413Capsular glaucoma with pseudoexfoliation of lens, right eye, severe stage
H40.1414Capsular glaucoma with pseudoexfoliation of lens, right eye, indeterminate stage
H40.1420Capsular glaucoma with pseudoexfoliation of lens, left eye, stage unspecified
H40.1421Capsular glaucoma with pseudoexfoliation of lens, left eye, mild stage
H40.1422Capsular glaucoma with pseudoexfoliation of lens, left eye, moderate stage
H40.1423Capsular glaucoma with pseudoexfoliation of lens, left eye, severe stage
H40.1424Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage
H40.1430Capsular glaucoma with pseudoexfoliation of lens, bilateral, stage unspecified
H40.1431Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage
H40.1432Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage
H40.1433Capsular glaucoma with pseudoexfoliation of lens, bilateral, severe stage
H40.1434Capsular glaucoma with pseudoexfoliation of lens, bilateral, indeterminate stage
H40.20x0
Unspecified primary angle-closure glaucoma, stage unspecified
H40.20x1Unspecified primary angle-closure glaucoma, mild stage
H40.20x2Unspecified primary angle-closure glaucoma, moderate stage
H40.20x3Unspecified primary angle-closure glaucoma, severe stage
H40.20x4Unspecified primary angle-closure glaucoma, indeterminate stage
H40.211Acute angle-closure glaucoma, right eye
H40.212Acute angle-closure glaucoma, left eye
H40.213Acute angle-closure glaucoma, bilateral
H40.2210
Chronic angle-closure glaucoma, right eye, stage unspecified
H40.2211Chronic angle-closure glaucoma, right eye, mild stage
H40.2212Chronic angle-closure glaucoma, right eye, moderate stage
H40.2213Chronic angle-closure glaucoma, right eye, severe stage
H40.2214Chronic angle-closure glaucoma, right eye, indeterminate stage
H40.2220Chronic angle-closure glaucoma, left eye, stage unspecified
H40.2221Chronic angle-closure glaucoma, left eye, mild stage
H40.2222Chronic angle-closure glaucoma, left eye, moderate stage
H40.2223Chronic angle-closure glaucoma, left eye, severe stage
H40.2224Chronic angle-closure glaucoma, left eye, indeterminate stage
H40.2230Chronic angle-closure glaucoma, bilateral, stage unspecified
H40.2231Chronic angle-closure glaucoma, bilateral, mild stage
H40.2232Chronic angle-closure glaucoma, bilateral, moderate stage
H40.2233Chronic angle-closure glaucoma, bilateral, severe stage
H40.2234Chronic angle-closure glaucoma, bilateral, indeterminate stage
H40.231
Intermittent angle-closure glaucoma, right eye
H40.232Intermittent angle-closure glaucoma, left eye
H40.233Intermittent angle-closure glaucoma, bilateral
H40.241
Residual stage of angle-closure glaucoma, right eye
H40.242Residual stage of angle-closure glaucoma, left eye
H40.243Residual stage of angle-closure glaucoma, bilateral
H40.31x0
Glaucoma secondary to eye trauma, right eye, stage unspecified
H40.31x1Glaucoma secondary to eye trauma, right eye, mild stage
H40.31x2Glaucoma secondary to eye trauma, right eye, moderate stage
H40.31x3Glaucoma secondary to eye trauma, right eye, severe stage
H40.31x4Glaucoma secondary to eye trauma, right eye, indeterminate stage
H40.32x0Glaucoma secondary to eye trauma, left eye, stage unspecified
H40.32x1Glaucoma secondary to eye trauma, left eye, mild stage
H40.32x2Glaucoma secondary to eye trauma, left eye, moderate stage
H40.32x3Glaucoma secondary to eye trauma, left eye, severe stage
H40.32x4Glaucoma secondary to eye trauma, left eye, indeterminate stage
H40.33x0Glaucoma secondary to eye trauma, bilateral, stage unspecified
H40.33x1Glaucoma secondary to eye trauma, bilateral, mild stage
H40.33x2Glaucoma secondary to eye trauma, bilateral, moderate stage
H40.33x3Glaucoma secondary to eye trauma, bilateral, severe stage
H40.33x4Glaucoma secondary to eye trauma, bilateral, indeterminate stage
H40.41x0
Glaucoma secondary to eye inflammation, right eye, stage unspecified
H40.41x1Glaucoma secondary to eye inflammation, right eye, mild stage
H40.41x2Glaucoma secondary to eye inflammation, right eye, moderate stage
H40.41x3Glaucoma secondary to eye inflammation, right eye, severe stage
H40.41x4Glaucoma secondary to eye inflammation, right eye, indeterminate stage
H40.42x0Glaucoma secondary to eye inflammation, left eye, stage unspecified
H40.42x1Glaucoma secondary to eye inflammation, left eye, mild stage
H40.42x2Glaucoma secondary to eye inflammation, left eye, moderate stage
H40.42x3Glaucoma secondary to eye inflammation, left eye, severe stage
H40.42x4Glaucoma secondary to eye inflammation, left eye, indeterminate stage
H40.43x0Glaucoma secondary to eye inflammation, bilateral, stage unspecified
H40.43x1Glaucoma secondary to eye inflammation, bilateral, mild stage
H40.43x2Glaucoma secondary to eye inflammation, bilateral, moderate stage
H40.43x3Glaucoma secondary to eye inflammation, bilateral, severe stage
H40.43x4Glaucoma secondary to eye inflammation, bilateral, indeterminate stage
H40.51x0
Glaucoma secondary to other eye disorders, right eye, stage unspecified
H40.51x1Glaucoma secondary to other eye disorders, right eye, mild stage
H40.51x2Glaucoma secondary to other eye disorders, right eye, moderate stage
H40.51x3Glaucoma secondary to other eye disorders, right eye, severe stage
H40.51x4Glaucoma secondary to other eye disorders, right eye, indeterminate stage
H40.52x0Glaucoma secondary to other eye disorders, left eye, stage unspecified
H40.52x1Glaucoma secondary to other eye disorders, left eye, mild stage
H40.52x2Glaucoma secondary to other eye disorders, left eye, moderate stage
H40.52x3Glaucoma secondary to other eye disorders, left eye, severe stage
H40.52x4Glaucoma secondary to other eye disorders, left eye, indeterminate stage
H40.53x0Glaucoma secondary to other eye disorders, bilateral, stage unspecified
H40.53x1Glaucoma secondary to other eye disorders, bilateral, mild stage
H40.53x2Glaucoma secondary to other eye disorders, bilateral, moderate stage
H40.53x3Glaucoma secondary to other eye disorders, bilateral, severe stage
H40.53x4Glaucoma secondary to other eye disorders, bilateral, indeterminate stage
H40.61x0
Glaucoma secondary to drugs, right eye, stage unspecified
H40.61x1Glaucoma secondary to drugs, right eye, mild stage
H40.61x2Glaucoma secondary to drugs, right eye, moderate stage
H40.61x3Glaucoma secondary to drugs, right eye, severe stage
H40.61x4Glaucoma secondary to drugs, right eye, indeterminate stage
H40.62x0Glaucoma secondary to drugs, left eye, stage unspecified
H40.62x1Glaucoma secondary to drugs, left eye, mild stage
H40.62x2Glaucoma secondary to drugs, left eye, moderate stage
H40.62x3Glaucoma secondary to drugs, left eye, severe stage
H40.62x4Glaucoma secondary to drugs, left eye, indeterminate stage
H40.63x0Glaucoma secondary to drugs, bilateral, stage unspecified
H40.63x1Glaucoma secondary to drugs, bilateral, mild stage
H40.63x2Glaucoma secondary to drugs, bilateral, moderate stage
H40.63x3Glaucoma secondary to drugs, bilateral, severe stage
H40.63x4Glaucoma secondary to drugs, bilateral, indeterminate stage
H40.811Glaucoma with increased episcleral venous pressure, right eye
H40.812Glaucoma with increased episcleral venous pressure, left eye
H40.813Glaucoma with increased episcleral venous pressure, bilateral
H40.821Hypersecretion glaucoma, right eye
H40.822Hypersecretion glaucoma, left eye
H40.823Hypersecretion glaucoma, bilateral
H40.831
Aqueous misdirection, right eye
H40.832Aqueous misdirection, left eye
H40.833Aqueous misdirection, bilateral
H40.89
Other specified glaucoma
H40.9Unspecified glaucoma
H42Glaucoma in diseases classified elsewhere
H44.511Absolute glaucoma, right eye
H44.512Absolute glaucoma, left eye
H44.513Absolute glaucoma, bilateral
P15.3
Birth injury to eye
Q15.0Congenital glaucoma
T85.318ABreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounter
T85.318DBreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.318SBreakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela
T85.328ADisplacement of other ocular prosthetic devices, implants and grafts, initial encounter
T85.328DDisplacement of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.328SDisplacement of other ocular prosthetic devices, implants and grafts, sequela
T85.398AOther mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter
T85.398DOther mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
T85.398SOther mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
T86.8401Corneal transplant rejection, right eye
T86.8402Corneal transplant rejection, left eye
T86.8403Corneal transplant rejection, bilateral
T86.8411
Corneal transplant failure, right eye
T86.8412Corneal transplant failure, left eye
T86.8413Corneal transplant failure, bilateral
T86.8481
Other complications of corneal transplant, right eye
T86.8482Other complications of corneal transplant, left eye
T86.8483Other complications of corneal transplant, bilateral
T86.8491
Unspecified complication of corneal transplant, right eye
T86.8492Unspecified complication of corneal transplant, left eye
T86.8493Unspecified complication of corneal transplant, bilateral
​Z94.7
Corneal transplant status​​​



09/19/2022
09/19/2022
06/26/2024
Medical Policy Bulletin
Commercial
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