ICD-10 · PDGM grouping
H52 Disorders of refraction and accommodation
All 37 codes in the H52 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
37
Can lead a claim
28
Cannot lead a claim
9
What CMS assigns to H52
28 of the 37 codes group to MMTA - Other; 9 are assigned no clinical group. None of the 37 is assigned a comorbidity subgroup. 28 of the 37 can lead a claim.
Every code in H52
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 |
|---|---|---|---|---|
| H52.0 Hypermetropia | ||||
| H52.00 | Hypermetropia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.01 | Hypermetropia, right eye | Can lead a claim | A | None |
| H52.02 | Hypermetropia, left eye | Can lead a claim | A | None |
| H52.03 | Hypermetropia, bilateral | Can lead a claim | A | None |
| H52.1 Myopia | ||||
| H52.10 | Myopia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.11 | Myopia, right eye | Can lead a claim | A | None |
| H52.12 | Myopia, left eye | Can lead a claim | A | None |
| H52.13 | Myopia, bilateral | Can lead a claim | A | None |
| H52.2 Astigmatism | ||||
| H52.20 Unspecified astigmatism | ||||
| H52.201 | Unspecified astigmatism, right eye | Can lead a claim | A | None |
| H52.202 | Unspecified astigmatism, left eye | Can lead a claim | A | None |
| H52.203 | Unspecified astigmatism, bilateral | Can lead a claim | A | None |
| H52.209 | Unspecified astigmatism, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.21 Irregular astigmatism | ||||
| H52.211 | Irregular astigmatism, right eye | Can lead a claim | A | None |
| H52.212 | Irregular astigmatism, left eye | Can lead a claim | A | None |
| H52.213 | Irregular astigmatism, bilateral | Can lead a claim | A | None |
| H52.219 | Irregular astigmatism, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.22 Regular astigmatism | ||||
| H52.221 | Regular astigmatism, right eye | Can lead a claim | A | None |
| H52.222 | Regular astigmatism, left eye | Can lead a claim | A | None |
| H52.223 | Regular astigmatism, bilateral | Can lead a claim | A | None |
| H52.229 | Regular astigmatism, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.3 Anisometropia and aniseikonia | ||||
| H52.31 | Anisometropia | Can lead a claim | A | None |
| H52.32 | Aniseikonia | Can lead a claim | A | None |
| H52.4 | Presbyopia | Can lead a claim | A | None |
| H52.5 Disorders of accommodation | ||||
| H52.51 Internal ophthalmoplegia (complete) (total) | ||||
| H52.511 | Internal ophthalmoplegia (complete) (total), right eye | Can lead a claim | A | None |
| H52.512 | Internal ophthalmoplegia (complete) (total), left eye | Can lead a claim | A | None |
| H52.513 | Internal ophthalmoplegia (complete) (total), bilateral | Can lead a claim | A | None |
| H52.519 | Internal ophthalmoplegia (complete) (total), unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.52 Paresis of accommodation | ||||
| H52.521 | Paresis of accommodation, right eye | Can lead a claim | A | None |
| H52.522 | Paresis of accommodation, left eye | Can lead a claim | A | None |
| H52.523 | Paresis of accommodation, bilateral | Can lead a claim | A | None |
| H52.529 | Paresis of accommodation, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.53 Spasm of accommodation | ||||
| H52.531 | Spasm of accommodation, right eye | Can lead a claim | A | None |
| H52.532 | Spasm of accommodation, left eye | Can lead a claim | A | None |
| H52.533 | Spasm of accommodation, bilateral | Can lead a claim | A | None |
| H52.539 | Spasm of accommodation, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H52.6 | Other disorders of refraction | Can lead a claim | A | None |
| H52.7 | Unspecified disorder of refraction | 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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