H40Not billable, use a more specific code below

Glaucoma

In Glaucoma (H40-H42), chapter 7: Diseases of the Eye and Adnexa

252 billable codes under H40: 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Excludes1: not coded here, use a different code

  • absolute glaucoma (H44.51-)
  • congenital glaucoma (Q15.0)
  • traumatic glaucoma due to birth injury (P15.3)

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.

  • Section I.C.7.a Glaucoma (page 48), covers H40

    Assign as many H40 codes as needed for type, eye, and stage, using a bilateral code when both eyes match. Code the highest stage reached during an admission; use 7th character 4 for indeterminate, 0 for undocumented stage.

Other Chapter 7 topics:

Read Section I.C.7 (page 48)

All codes under H40

H40 can't be used on a claim. Pick a billable code below; grey headings group them.

H40 MS-DRGs

As the principal diagnosis, the billable codes under H40 group to MS-DRG 124, 125, or 123 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to H40

Notes on these codes point to H40.

  • E08.39 Use Additional Code: diabetic glaucoma (H40-H42)
  • E09.39 Use Additional Code: diabetic glaucoma (H40-H42)
  • E10.39 Use Additional Code: diabetic glaucoma (H40-H42)
  • E11.39 Use Additional Code: diabetic glaucoma (H40-H42)
  • E13.39 Use Additional Code: diabetic glaucoma (H40-H42)
  • H26.23 Code First: underlying glaucoma (H40-H42)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Glaucoma

Glaucoma is a group of diseases that can damage the optic nerve of one, or both, of your eyes. This can result in vision loss. There are different types of glaucoma, but the most common type is open-angle glaucoma. Other less common types include angle-closure glaucoma, and congenital glaucoma.

Read more about glaucoma on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.