Disorders of vitreous body
In Disorders of vitreous body and globe (H43-H44), chapter 7: Diseases of the Eye and Adnexa
30 billable codes under H43: none are a CC or MCC; 4 map to HCC 298 (Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage).An HCC counts toward a Medicare Advantage patient's risk score.
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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 H43
H43 can't be used on a claim. Pick a billable code below; grey headings group them.
- H43.0Vitreous prolapse
- H43.00Vitreous prolapse, unspecified eye
- H43.01Vitreous prolapse, right eye
- H43.02Vitreous prolapse, left eye
- H43.03Vitreous prolapse, bilateral
- H43.1Vitreous hemorrhage
- H43.10Vitreous hemorrhage, unspecified eye
- H43.11Vitreous hemorrhage, right eye
- H43.12Vitreous hemorrhage, left eye
- H43.13Vitreous hemorrhage, bilateral
- H43.2Crystalline deposits in vitreous body
- H43.20Crystalline deposits in vitreous body, unspecified eye
- H43.21Crystalline deposits in vitreous body, right eye
- H43.22Crystalline deposits in vitreous body, left eye
- H43.23Crystalline deposits in vitreous body, bilateral
- H43.3Other vitreous opacities
- H43.31Vitreous membranes and strands
- H43.311Vitreous membranes and strands, right eye
- H43.312Vitreous membranes and strands, left eye
- H43.313Vitreous membranes and strands, bilateral
- H43.319Vitreous membranes and strands, unspecified eye
- H43.39Other vitreous opacities
- H43.391Other vitreous opacities, right eye
- H43.392Other vitreous opacities, left eye
- H43.393Other vitreous opacities, bilateral
- H43.399Other vitreous opacities, unspecified eye
- H43.8Other disorders of vitreous body
- H43.81Vitreous degeneration
- H43.811Vitreous degeneration, right eye
- H43.812Vitreous degeneration, left eye
- H43.813Vitreous degeneration, bilateral
- H43.819Vitreous degeneration, unspecified eye
- H43.82Vitreomacular adhesion
- H43.821Vitreomacular adhesion, right eye
- H43.822Vitreomacular adhesion, left eye
- H43.823Vitreomacular adhesion, bilateral
- H43.829Vitreomacular adhesion, unspecified eye
- H43.89Other disorders of vitreous body
- H43.9Unspecified disorder of vitreous body
H43 MS-DRGs
As the principal diagnosis, all 30 billable codes under H43 group to MS-DRG 124 or 125 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Eye Diseases
Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.
Read more about eye diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
