ICD-10 · PDGM grouping
H15 Disorders of sclera
All 62 codes in the H15 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
62
Can lead a claim
46
Cannot lead a claim
16
What CMS assigns to H15
46 of the 62 codes group to MMTA - Other; 16 are assigned no clinical group. None of the 62 is assigned a comorbidity subgroup. 46 of the 62 can lead a claim.
Every code in H15
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H15.0 Scleritis | ||||
| H15.00 Unspecified scleritis | ||||
| H15.001 | Unspecified scleritis, right eye | Can lead a claim | A | None |
| H15.002 | Unspecified scleritis, left eye | Can lead a claim | A | None |
| H15.003 | Unspecified scleritis, bilateral | Can lead a claim | A | None |
| H15.009 | Unspecified scleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.01 Anterior scleritis | ||||
| H15.011 | Anterior scleritis, right eye | Can lead a claim | A | None |
| H15.012 | Anterior scleritis, left eye | Can lead a claim | A | None |
| H15.013 | Anterior scleritis, bilateral | Can lead a claim | A | None |
| H15.019 | Anterior scleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.02 Brawny scleritis | ||||
| H15.021 | Brawny scleritis, right eye | Can lead a claim | A | None |
| H15.022 | Brawny scleritis, left eye | Can lead a claim | A | None |
| H15.023 | Brawny scleritis, bilateral | Can lead a claim | A | None |
| H15.029 | Brawny scleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.03 Posterior scleritis | ||||
| H15.031 | Posterior scleritis, right eye | Can lead a claim | A | None |
| H15.032 | Posterior scleritis, left eye | Can lead a claim | A | None |
| H15.033 | Posterior scleritis, bilateral | Can lead a claim | A | None |
| H15.039 | Posterior scleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.04 Scleritis with corneal involvement | ||||
| H15.041 | Scleritis with corneal involvement, right eye | Can lead a claim | A | None |
| H15.042 | Scleritis with corneal involvement, left eye | Can lead a claim | A | None |
| H15.043 | Scleritis with corneal involvement, bilateral | Can lead a claim | A | None |
| H15.049 | Scleritis with corneal involvement, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.05 Scleromalacia perforans | ||||
| H15.051 | Scleromalacia perforans, right eye | Can lead a claim | A | None |
| H15.052 | Scleromalacia perforans, left eye | Can lead a claim | A | None |
| H15.053 | Scleromalacia perforans, bilateral | Can lead a claim | A | None |
| H15.059 | Scleromalacia perforans, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.09 Other scleritis | ||||
| H15.091 | Other scleritis, right eye | Can lead a claim | A | None |
| H15.092 | Other scleritis, left eye | Can lead a claim | A | None |
| H15.093 | Other scleritis, bilateral | Can lead a claim | A | None |
| H15.099 | Other scleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.1 Episcleritis | ||||
| H15.10 Unspecified episcleritis | ||||
| H15.101 | Unspecified episcleritis, right eye | Can lead a claim | A | None |
| H15.102 | Unspecified episcleritis, left eye | Can lead a claim | A | None |
| H15.103 | Unspecified episcleritis, bilateral | Can lead a claim | A | None |
| H15.109 | Unspecified episcleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.11 Episcleritis periodica fugax | ||||
| H15.111 | Episcleritis periodica fugax, right eye | Can lead a claim | A | None |
| H15.112 | Episcleritis periodica fugax, left eye | Can lead a claim | A | None |
| H15.113 | Episcleritis periodica fugax, bilateral | Can lead a claim | A | None |
| H15.119 | Episcleritis periodica fugax, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.12 Nodular episcleritis | ||||
| H15.121 | Nodular episcleritis, right eye | Can lead a claim | A | None |
| H15.122 | Nodular episcleritis, left eye | Can lead a claim | A | None |
| H15.123 | Nodular episcleritis, bilateral | Can lead a claim | A | None |
| H15.129 | Nodular episcleritis, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.8 Other disorders of sclera | ||||
| H15.81 Equatorial staphyloma | ||||
| H15.811 | Equatorial staphyloma, right eye | Can lead a claim | A | None |
| H15.812 | Equatorial staphyloma, left eye | Can lead a claim | A | None |
| H15.813 | Equatorial staphyloma, bilateral | Can lead a claim | A | None |
| H15.819 | Equatorial staphyloma, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.82 Localized anterior staphyloma | ||||
| H15.821 | Localized anterior staphyloma, right eye | Can lead a claim | A | None |
| H15.822 | Localized anterior staphyloma, left eye | Can lead a claim | A | None |
| H15.823 | Localized anterior staphyloma, bilateral | Can lead a claim | A | None |
| H15.829 | Localized anterior staphyloma, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.83 Staphyloma posticum | ||||
| H15.831 | Staphyloma posticum, right eye | Can lead a claim | A | None |
| H15.832 | Staphyloma posticum, left eye | Can lead a claim | A | None |
| H15.833 | Staphyloma posticum, bilateral | Can lead a claim | A | None |
| H15.839 | Staphyloma posticum, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.84 Scleral ectasia | ||||
| H15.841 | Scleral ectasia, right eye | Can lead a claim | A | None |
| H15.842 | Scleral ectasia, left eye | Can lead a claim | A | None |
| H15.843 | Scleral ectasia, bilateral | Can lead a claim | A | None |
| H15.849 | Scleral ectasia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.85 Ring staphyloma | ||||
| H15.851 | Ring staphyloma, right eye | Can lead a claim | A | None |
| H15.852 | Ring staphyloma, left eye | Can lead a claim | A | None |
| H15.853 | Ring staphyloma, bilateral | Can lead a claim | A | None |
| H15.859 | Ring staphyloma, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H15.89 | Other disorders of sclera | Can lead a claim | A | None |
| H15.9 | Unspecified disorder of sclera | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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