ICD-10 · PDGM grouping
H43 Disorders of vitreous body
All 30 codes in the H43 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.
Codes in family
30
Can lead a claim
22
Cannot lead a claim
8
What CMS assigns to H43
22 of the 30 codes group to MMTA - Other; 8 are assigned no clinical group. None of the 30 is assigned a comorbidity subgroup. 22 of the 30 can lead a claim.
Every code in H43
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 |
|---|---|---|---|---|
| H43.0 Vitreous prolapse | ||||
| H43.00 | Vitreous prolapse, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.01 | Vitreous prolapse, right eye | Can lead a claim | A | None |
| H43.02 | Vitreous prolapse, left eye | Can lead a claim | A | None |
| H43.03 | Vitreous prolapse, bilateral | Can lead a claim | A | None |
| H43.1 Vitreous hemorrhage | ||||
| H43.10 | Vitreous hemorrhage, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.11 | Vitreous hemorrhage, right eye | Can lead a claim | A | None |
| H43.12 | Vitreous hemorrhage, left eye | Can lead a claim | A | None |
| H43.13 | Vitreous hemorrhage, bilateral | Can lead a claim | A | None |
| H43.2 Crystalline deposits in vitreous body | ||||
| H43.20 | Crystalline deposits in vitreous body, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.21 | Crystalline deposits in vitreous body, right eye | Can lead a claim | A | None |
| H43.22 | Crystalline deposits in vitreous body, left eye | Can lead a claim | A | None |
| H43.23 | Crystalline deposits in vitreous body, bilateral | Can lead a claim | A | None |
| H43.3 Other vitreous opacities | ||||
| H43.31 Vitreous membranes and strands | ||||
| H43.311 | Vitreous membranes and strands, right eye | Can lead a claim | A | None |
| H43.312 | Vitreous membranes and strands, left eye | Can lead a claim | A | None |
| H43.313 | Vitreous membranes and strands, bilateral | Can lead a claim | A | None |
| H43.319 | Vitreous membranes and strands, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.39 Other vitreous opacities | ||||
| H43.391 | Other vitreous opacities, right eye | Can lead a claim | A | None |
| H43.392 | Other vitreous opacities, left eye | Can lead a claim | A | None |
| H43.393 | Other vitreous opacities, bilateral | Can lead a claim | A | None |
| H43.399 | Other vitreous opacities, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.8 Other disorders of vitreous body | ||||
| H43.81 Vitreous degeneration | ||||
| H43.811 | Vitreous degeneration, right eye | Can lead a claim | A | None |
| H43.812 | Vitreous degeneration, left eye | Can lead a claim | A | None |
| H43.813 | Vitreous degeneration, bilateral | Can lead a claim | A | None |
| H43.819 | Vitreous degeneration, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.82 Vitreomacular adhesion | ||||
| H43.821 | Vitreomacular adhesion, right eye | Can lead a claim | A | None |
| H43.822 | Vitreomacular adhesion, left eye | Can lead a claim | A | None |
| H43.823 | Vitreomacular adhesion, bilateral | Can lead a claim | A | None |
| H43.829 | Vitreomacular adhesion, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H43.89 | Other disorders of vitreous body | Can lead a claim | A | None |
| H43.9 | Unspecified disorder of vitreous body | 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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