H43Not billable, use a more specific code below

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.

Read Section I.C.7 (page 48)

All codes under H43

H43 can't be used on a claim. Pick a billable code below; grey headings group them.

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 MedlinePlus

Code history

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