Is ICD-10-CM code H57 billable?

No, H57 (Other disorders of eye and adnexa) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code H57 belong to?

H57 belongs to Chapter 7 of the ICD-10-CM tabular list: H00–H59 (Diseases of the Eye and Adnexa).

H57Non-billable

Other disorders of eye and adnexa

Diseases of the Eye and Adnexa·Other disorders of eye and adnexa (H55-H57)·category·FY 2026

Use a more specific code (1 billable, 3 non-billable)

H57.0Anomalies of pupillary functionhas subcodes H57.1Ocular painhas subcodes H57.8Other specified disorders of eye and adnexahas subcodes H57.9Unspecified disorder of eye and adnexa

CH7 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
endocrine, nutritional and metabolic diseases (E00-E88)
injury (trauma) of eye and orbit (S05.-)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Clinical Hierarchy

BillableHas subcodes

CH7Diseases of the eye and adnexa (H00-H59)

H55-H57Other disorders of eye and adnexa (H55-H57)

H57Other disorders of eye and adnexaNot billable

H57.0Anomalies of pupillary functionSubcodes

H57.1Ocular painSubcodes

H57.8Other specified disorders of eye and adnexaSubcodes

H57.9Unspecified disorder of eye and adnexaBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.