Keratitis
In Disorders of sclera, cornea, iris and ciliary body (H15-H22), chapter 7: Diseases of the Eye and Adnexa
126 billable codes under H16: none are a CC or MCC; none map to an HCC.
Advertisements
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H16
H16 can't be used on a claim. Pick a billable code below; grey headings group them.
- H16.0Corneal ulcer
- H16.00Unspecified corneal ulcer
- H16.001Unspecified corneal ulcer, right eye
- H16.002Unspecified corneal ulcer, left eye
- H16.003Unspecified corneal ulcer, bilateral
- H16.009Unspecified corneal ulcer, unspecified eye
- H16.01Central corneal ulcer
- H16.011Central corneal ulcer, right eye
- H16.012Central corneal ulcer, left eye
- H16.013Central corneal ulcer, bilateral
- H16.019Central corneal ulcer, unspecified eye
- H16.02Ring corneal ulcer
- H16.021Ring corneal ulcer, right eye
- H16.022Ring corneal ulcer, left eye
- H16.023Ring corneal ulcer, bilateral
- H16.029Ring corneal ulcer, unspecified eye
- H16.03Corneal ulcer with hypopyon
- H16.031Corneal ulcer with hypopyon, right eye
- H16.032Corneal ulcer with hypopyon, left eye
- H16.033Corneal ulcer with hypopyon, bilateral
- H16.039Corneal ulcer with hypopyon, unspecified eye
- H16.04Marginal corneal ulcer
- H16.041Marginal corneal ulcer, right eye
- H16.042Marginal corneal ulcer, left eye
- H16.043Marginal corneal ulcer, bilateral
- H16.049Marginal corneal ulcer, unspecified eye
- H16.05Mooren's corneal ulcer
- H16.051Mooren's corneal ulcer, right eye
- H16.052Mooren's corneal ulcer, left eye
- H16.053Mooren's corneal ulcer, bilateral
- H16.059Mooren's corneal ulcer, unspecified eye
- H16.06Mycotic corneal ulcer
- H16.061Mycotic corneal ulcer, right eye
- H16.062Mycotic corneal ulcer, left eye
- H16.063Mycotic corneal ulcer, bilateral
- H16.069Mycotic corneal ulcer, unspecified eye
- H16.07Perforated corneal ulcer
- H16.071Perforated corneal ulcer, right eye
- H16.072Perforated corneal ulcer, left eye
- H16.073Perforated corneal ulcer, bilateral
- H16.079Perforated corneal ulcer, unspecified eye
- H16.1Other and unspecified superficial keratitis without conjunctivitis
- H16.10Unspecified superficial keratitis
- H16.101Unspecified superficial keratitis, right eye
- H16.102Unspecified superficial keratitis, left eye
- H16.103Unspecified superficial keratitis, bilateral
- H16.109Unspecified superficial keratitis, unspecified eye
- H16.11Macular keratitis
- H16.111Macular keratitis, right eye
- H16.112Macular keratitis, left eye
- H16.113Macular keratitis, bilateral
- H16.119Macular keratitis, unspecified eye
- H16.12Filamentary keratitis
- H16.121Filamentary keratitis, right eye
- H16.122Filamentary keratitis, left eye
- H16.123Filamentary keratitis, bilateral
- H16.129Filamentary keratitis, unspecified eye
- H16.13Photokeratitis
- H16.131Photokeratitis, right eye
- H16.132Photokeratitis, left eye
- H16.133Photokeratitis, bilateral
- H16.139Photokeratitis, unspecified eye
- H16.14Punctate keratitis
- H16.141Punctate keratitis, right eye
- H16.142Punctate keratitis, left eye
- H16.143Punctate keratitis, bilateral
- H16.149Punctate keratitis, unspecified eye
- H16.2Keratoconjunctivitis
- H16.20Unspecified keratoconjunctivitis
- H16.201Unspecified keratoconjunctivitis, right eye
- H16.202Unspecified keratoconjunctivitis, left eye
- H16.203Unspecified keratoconjunctivitis, bilateral
- H16.209Unspecified keratoconjunctivitis, unspecified eye
- H16.21Exposure keratoconjunctivitis
- H16.211Exposure keratoconjunctivitis, right eye
- H16.212Exposure keratoconjunctivitis, left eye
- H16.213Exposure keratoconjunctivitis, bilateral
- H16.219Exposure keratoconjunctivitis, unspecified eye
- H16.22Keratoconjunctivitis sicca, not specified as Sjögren's
- H16.221Keratoconjunctivitis sicca, not specified as Sjogren's, right eye
- H16.222Keratoconjunctivitis sicca, not specified as Sjogren's, left eye
- H16.223Keratoconjunctivitis sicca, not specified as Sjogren's, bilateral
- H16.229Keratoconjunctivitis sicca, not specified as Sjogren's, unspecified eye
- H16.23Neurotrophic keratoconjunctivitis
- H16.231Neurotrophic keratoconjunctivitis, right eye
- H16.232Neurotrophic keratoconjunctivitis, left eye
- H16.233Neurotrophic keratoconjunctivitis, bilateral
- H16.239Neurotrophic keratoconjunctivitis, unspecified eye
- H16.24Ophthalmia nodosa
- H16.241Ophthalmia nodosa, right eye
- H16.242Ophthalmia nodosa, left eye
- H16.243Ophthalmia nodosa, bilateral
- H16.249Ophthalmia nodosa, unspecified eye
- H16.25Phlyctenular keratoconjunctivitis
- H16.251Phlyctenular keratoconjunctivitis, right eye
- H16.252Phlyctenular keratoconjunctivitis, left eye
- H16.253Phlyctenular keratoconjunctivitis, bilateral
- H16.259Phlyctenular keratoconjunctivitis, unspecified eye
- H16.26Vernal keratoconjunctivitis, with limbar and corneal involvement
- H16.261Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye
- H16.262Vernal keratoconjunctivitis, with limbar and corneal involvement, left eye
- H16.263Vernal keratoconjunctivitis, with limbar and corneal involvement, bilateral
- H16.269Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye
- H16.29Other keratoconjunctivitis
- H16.291Other keratoconjunctivitis, right eye
- H16.292Other keratoconjunctivitis, left eye
- H16.293Other keratoconjunctivitis, bilateral
- H16.299Other keratoconjunctivitis, unspecified eye
- H16.3Interstitial and deep keratitis
- H16.30Unspecified interstitial keratitis
- H16.301Unspecified interstitial keratitis, right eye
- H16.302Unspecified interstitial keratitis, left eye
- H16.303Unspecified interstitial keratitis, bilateral
- H16.309Unspecified interstitial keratitis, unspecified eye
- H16.31Corneal abscess
- H16.311Corneal abscess, right eye
- H16.312Corneal abscess, left eye
- H16.313Corneal abscess, bilateral
- H16.319Corneal abscess, unspecified eye
- H16.32Diffuse interstitial keratitis
- H16.321Diffuse interstitial keratitis, right eye
- H16.322Diffuse interstitial keratitis, left eye
- H16.323Diffuse interstitial keratitis, bilateral
- H16.329Diffuse interstitial keratitis, unspecified eye
- H16.33Sclerosing keratitis
- H16.331Sclerosing keratitis, right eye
- H16.332Sclerosing keratitis, left eye
- H16.333Sclerosing keratitis, bilateral
- H16.339Sclerosing keratitis, unspecified eye
- H16.39Other interstitial and deep keratitis
- H16.391Other interstitial and deep keratitis, right eye
- H16.392Other interstitial and deep keratitis, left eye
- H16.393Other interstitial and deep keratitis, bilateral
- H16.399Other interstitial and deep keratitis, unspecified eye
- H16.4Corneal neovascularization
- H16.40Unspecified corneal neovascularization
- H16.401Unspecified corneal neovascularization, right eye
- H16.402Unspecified corneal neovascularization, left eye
- H16.403Unspecified corneal neovascularization, bilateral
- H16.409Unspecified corneal neovascularization, unspecified eye
- H16.41Ghost vessels (corneal)
- H16.411Ghost vessels (corneal), right eye
- H16.412Ghost vessels (corneal), left eye
- H16.413Ghost vessels (corneal), bilateral
- H16.419Ghost vessels (corneal), unspecified eye
- H16.42Pannus (corneal)
- H16.421Pannus (corneal), right eye
- H16.422Pannus (corneal), left eye
- H16.423Pannus (corneal), bilateral
- H16.429Pannus (corneal), unspecified eye
- H16.43Localized vascularization of cornea
- H16.431Localized vascularization of cornea, right eye
- H16.432Localized vascularization of cornea, left eye
- H16.433Localized vascularization of cornea, bilateral
- H16.439Localized vascularization of cornea, unspecified eye
- H16.44Deep vascularization of cornea
- H16.441Deep vascularization of cornea, right eye
- H16.442Deep vascularization of cornea, left eye
- H16.443Deep vascularization of cornea, bilateral
- H16.449Deep vascularization of cornea, unspecified eye
- H16.8Other keratitis
- H16.9Unspecified keratitis
H16 MS-DRGs
As the principal diagnosis, the billable codes under H16 group to MS-DRG 124, 125, 121, or 122 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (102 of 126 codes)
- DRG 125 Other Disorders of the Eye without MCC (102 of 126 codes)
- DRG 121 Acute Major Eye Infections with CC/MCC (24 of 126 codes)
- DRG 122 Acute Major Eye Infections without CC/MCC (24 of 126 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Corneal Disorders
Your cornea is the outermost layer of your eye. It is clear and shaped like a dome. The cornea helps to shield the rest of the eye from germs, dust, and other harmful matter. It also helps your eye to focus. If you wear contact lenses, they float on top of your corneas.
Read more about corneal disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
