ICD-10 · PDGM grouping
H15-H22 — Disorders of sclera, cornea, iris and ciliary body
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
497
No clinical group
125
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
372 of the 497 codes in H15-H22 group to MMTA - Other. A further 125 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H15-H22
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H15-H22
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H15001 | Unspecified scleritis, right eye | A | Can lead a claim |
| H15002 | Unspecified scleritis, left eye | A | Can lead a claim |
| H15003 | Unspecified scleritis, bilateral | A | Can lead a claim |
| H15009 | Unspecified scleritis, unspecified eye | None | Cannot lead a claim |
| H15011 | Anterior scleritis, right eye | A | Can lead a claim |
| H15012 | Anterior scleritis, left eye | A | Can lead a claim |
| H15013 | Anterior scleritis, bilateral | A | Can lead a claim |
| H15019 | Anterior scleritis, unspecified eye | None | Cannot lead a claim |
| H15021 | Brawny scleritis, right eye | A | Can lead a claim |
| H15022 | Brawny scleritis, left eye | A | Can lead a claim |
| H15023 | Brawny scleritis, bilateral | A | Can lead a claim |
| H15029 | Brawny scleritis, unspecified eye | None | Cannot lead a claim |
| H15031 | Posterior scleritis, right eye | A | Can lead a claim |
| H15032 | Posterior scleritis, left eye | A | Can lead a claim |
| H15033 | Posterior scleritis, bilateral | A | Can lead a claim |
| H15039 | Posterior scleritis, unspecified eye | None | Cannot lead a claim |
| H15041 | Scleritis with corneal involvement, right eye | A | Can lead a claim |
| H15042 | Scleritis with corneal involvement, left eye | A | Can lead a claim |
| H15043 | Scleritis with corneal involvement, bilateral | A | Can lead a claim |
| H15049 | Scleritis with corneal involvement, unspecified eye | None | Cannot lead a claim |
| H15051 | Scleromalacia perforans, right eye | A | Can lead a claim |
| H15052 | Scleromalacia perforans, left eye | A | Can lead a claim |
| H15053 | Scleromalacia perforans, bilateral | A | Can lead a claim |
| H15059 | Scleromalacia perforans, unspecified eye | None | Cannot lead a claim |
| H15091 | Other scleritis, right eye | A | Can lead a claim |
| H15092 | Other scleritis, left eye | A | Can lead a claim |
| H15093 | Other scleritis, bilateral | A | Can lead a claim |
| H15099 | Other scleritis, unspecified eye | None | Cannot lead a claim |
| H15101 | Unspecified episcleritis, right eye | A | Can lead a claim |
| H15102 | Unspecified episcleritis, left eye | A | Can lead a claim |
| H15103 | Unspecified episcleritis, bilateral | A | Can lead a claim |
| H15109 | Unspecified episcleritis, unspecified eye | None | Cannot lead a claim |
| H15111 | Episcleritis periodica fugax, right eye | A | Can lead a claim |
| H15112 | Episcleritis periodica fugax, left eye | A | Can lead a claim |
| H15113 | Episcleritis periodica fugax, bilateral | A | Can lead a claim |
| H15119 | Episcleritis periodica fugax, unspecified eye | None | Cannot lead a claim |
| H15121 | Nodular episcleritis, right eye | A | Can lead a claim |
| H15122 | Nodular episcleritis, left eye | A | Can lead a claim |
| H15123 | Nodular episcleritis, bilateral | A | Can lead a claim |
| H15129 | Nodular episcleritis, unspecified eye | None | Cannot lead a claim |
| H15811 | Equatorial staphyloma, right eye | A | Can lead a claim |
| H15812 | Equatorial staphyloma, left eye | A | Can lead a claim |
| H15813 | Equatorial staphyloma, bilateral | A | Can lead a claim |
| H15819 | Equatorial staphyloma, unspecified eye | None | Cannot lead a claim |
| H15821 | Localized anterior staphyloma, right eye | A | Can lead a claim |
| H15822 | Localized anterior staphyloma, left eye | A | Can lead a claim |
| H15823 | Localized anterior staphyloma, bilateral | A | Can lead a claim |
| H15829 | Localized anterior staphyloma, unspecified eye | None | Cannot lead a claim |
| H15831 | Staphyloma posticum, right eye | A | Can lead a claim |
| H15832 | Staphyloma posticum, left eye | A | Can lead a claim |
| H15833 | Staphyloma posticum, bilateral | A | Can lead a claim |
| H15839 | Staphyloma posticum, unspecified eye | None | Cannot lead a claim |
| H15841 | Scleral ectasia, right eye | A | Can lead a claim |
| H15842 | Scleral ectasia, left eye | A | Can lead a claim |
| H15843 | Scleral ectasia, bilateral | A | Can lead a claim |
| H15849 | Scleral ectasia, unspecified eye | None | Cannot lead a claim |
| H15851 | Ring staphyloma, right eye | A | Can lead a claim |
| H15852 | Ring staphyloma, left eye | A | Can lead a claim |
| H15853 | Ring staphyloma, bilateral | A | Can lead a claim |
| H15859 | Ring staphyloma, unspecified eye | None | Cannot lead a claim |
| H1589 | Other disorders of sclera | A | Can lead a claim |
| H159 | Unspecified disorder of sclera | None | Cannot lead a claim |
| H16001 | Unspecified corneal ulcer, right eye | A | Can lead a claim |
| H16002 | Unspecified corneal ulcer, left eye | A | Can lead a claim |
| H16003 | Unspecified corneal ulcer, bilateral | A | Can lead a claim |
| H16009 | Unspecified corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16011 | Central corneal ulcer, right eye | A | Can lead a claim |
| H16012 | Central corneal ulcer, left eye | A | Can lead a claim |
| H16013 | Central corneal ulcer, bilateral | A | Can lead a claim |
| H16019 | Central corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16021 | Ring corneal ulcer, right eye | A | Can lead a claim |
| H16022 | Ring corneal ulcer, left eye | A | Can lead a claim |
| H16023 | Ring corneal ulcer, bilateral | A | Can lead a claim |
| H16029 | Ring corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16031 | Corneal ulcer with hypopyon, right eye | A | Can lead a claim |
| H16032 | Corneal ulcer with hypopyon, left eye | A | Can lead a claim |
| H16033 | Corneal ulcer with hypopyon, bilateral | A | Can lead a claim |
| H16039 | Corneal ulcer with hypopyon, unspecified eye | None | Cannot lead a claim |
| H16041 | Marginal corneal ulcer, right eye | A | Can lead a claim |
| H16042 | Marginal corneal ulcer, left eye | A | Can lead a claim |
| H16043 | Marginal corneal ulcer, bilateral | A | Can lead a claim |
| H16049 | Marginal corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16051 | Mooren's corneal ulcer, right eye | A | Can lead a claim |
| H16052 | Mooren's corneal ulcer, left eye | A | Can lead a claim |
| H16053 | Mooren's corneal ulcer, bilateral | A | Can lead a claim |
| H16059 | Mooren's corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16061 | Mycotic corneal ulcer, right eye | A | Can lead a claim |
| H16062 | Mycotic corneal ulcer, left eye | A | Can lead a claim |
| H16063 | Mycotic corneal ulcer, bilateral | A | Can lead a claim |
| H16069 | Mycotic corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16071 | Perforated corneal ulcer, right eye | A | Can lead a claim |
| H16072 | Perforated corneal ulcer, left eye | A | Can lead a claim |
| H16073 | Perforated corneal ulcer, bilateral | A | Can lead a claim |
| H16079 | Perforated corneal ulcer, unspecified eye | None | Cannot lead a claim |
| H16101 | Unspecified superficial keratitis, right eye | A | Can lead a claim |
| H16102 | Unspecified superficial keratitis, left eye | A | Can lead a claim |
| H16103 | Unspecified superficial keratitis, bilateral | A | Can lead a claim |
| H16109 | Unspecified superficial keratitis, unspecified eye | None | Cannot lead a claim |
| H16111 | Macular keratitis, right eye | A | Can lead a claim |
| H16112 | Macular keratitis, left eye | A | Can lead a claim |
| H16113 | Macular keratitis, bilateral | A | Can lead a claim |
| H16119 | Macular keratitis, unspecified eye | None | Cannot lead a claim |
| H16121 | Filamentary keratitis, right eye | A | Can lead a claim |
| H16122 | Filamentary keratitis, left eye | A | Can lead a claim |
| H16123 | Filamentary keratitis, bilateral | A | Can lead a claim |
| H16129 | Filamentary keratitis, unspecified eye | None | Cannot lead a claim |
| H16131 | Photokeratitis, right eye | A | Can lead a claim |
| H16132 | Photokeratitis, left eye | A | Can lead a claim |
| H16133 | Photokeratitis, bilateral | A | Can lead a claim |
| H16139 | Photokeratitis, unspecified eye | None | Cannot lead a claim |
| H16141 | Punctate keratitis, right eye | A | Can lead a claim |
| H16142 | Punctate keratitis, left eye | A | Can lead a claim |
| H16143 | Punctate keratitis, bilateral | A | Can lead a claim |
| H16149 | Punctate keratitis, unspecified eye | None | Cannot lead a claim |
| H16201 | Unspecified keratoconjunctivitis, right eye | A | Can lead a claim |
| H16202 | Unspecified keratoconjunctivitis, left eye | A | Can lead a claim |
| H16203 | Unspecified keratoconjunctivitis, bilateral | A | Can lead a claim |
| H16209 | Unspecified keratoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H16211 | Exposure keratoconjunctivitis, right eye | A | Can lead a claim |
| H16212 | Exposure keratoconjunctivitis, left eye | A | Can lead a claim |
| H16213 | Exposure keratoconjunctivitis, bilateral | A | Can lead a claim |
| H16219 | Exposure keratoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H16221 | Keratoconjunct sicca, not specified as Sjogren's, right eye | A | Can lead a claim |
| H16222 | Keratoconjunct sicca, not specified as Sjogren's, left eye | A | Can lead a claim |
| H16223 | Keratoconjunct sicca, not specified as Sjogren's, bilateral | A | Can lead a claim |
| H16229 | Keratoconjunct sicca, not specified as Sjogren's, unsp eye | None | Cannot lead a claim |
| H16231 | Neurotrophic keratoconjunctivitis, right eye | A | Can lead a claim |
| H16232 | Neurotrophic keratoconjunctivitis, left eye | A | Can lead a claim |
| H16233 | Neurotrophic keratoconjunctivitis, bilateral | A | Can lead a claim |
| H16239 | Neurotrophic keratoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H16241 | Ophthalmia nodosa, right eye | A | Can lead a claim |
| H16242 | Ophthalmia nodosa, left eye | A | Can lead a claim |
| H16243 | Ophthalmia nodosa, bilateral | A | Can lead a claim |
| H16249 | Ophthalmia nodosa, unspecified eye | None | Cannot lead a claim |
| H16251 | Phlyctenular keratoconjunctivitis, right eye | A | Can lead a claim |
| H16252 | Phlyctenular keratoconjunctivitis, left eye | A | Can lead a claim |
| H16253 | Phlyctenular keratoconjunctivitis, bilateral | A | Can lead a claim |
| H16259 | Phlyctenular keratoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H16261 | Vernal keratoconjunct, w limbar and corneal involv, r eye | A | Can lead a claim |
| H16262 | Vernal keratoconjunct, w limbar and corneal involv, left eye | A | Can lead a claim |
| H16263 | Vernal keratoconjunct, w limbar and corneal involv, bi | A | Can lead a claim |
| H16269 | Vernal keratoconjunct, w limbar and corneal involv, unsp eye | None | Cannot lead a claim |
| H16291 | Other keratoconjunctivitis, right eye | A | Can lead a claim |
| H16292 | Other keratoconjunctivitis, left eye | A | Can lead a claim |
| H16293 | Other keratoconjunctivitis, bilateral | A | Can lead a claim |
| H16299 | Other keratoconjunctivitis, unspecified eye | None | Cannot lead a claim |
| H16301 | Unspecified interstitial keratitis, right eye | A | Can lead a claim |
| H16302 | Unspecified interstitial keratitis, left eye | A | Can lead a claim |
| H16303 | Unspecified interstitial keratitis, bilateral | A | Can lead a claim |
| H16309 | Unspecified interstitial keratitis, unspecified eye | None | Cannot lead a claim |
| H16311 | Corneal abscess, right eye | A | Can lead a claim |
| H16312 | Corneal abscess, left eye | A | Can lead a claim |
| H16313 | Corneal abscess, bilateral | A | Can lead a claim |
| H16319 | Corneal abscess, unspecified eye | None | Cannot lead a claim |
| H16321 | Diffuse interstitial keratitis, right eye | A | Can lead a claim |
| H16322 | Diffuse interstitial keratitis, left eye | A | Can lead a claim |
| H16323 | Diffuse interstitial keratitis, bilateral | A | Can lead a claim |
| H16329 | Diffuse interstitial keratitis, unspecified eye | None | Cannot lead a claim |
| H16331 | Sclerosing keratitis, right eye | A | Can lead a claim |
| H16332 | Sclerosing keratitis, left eye | A | Can lead a claim |
| H16333 | Sclerosing keratitis, bilateral | A | Can lead a claim |
| H16339 | Sclerosing keratitis, unspecified eye | None | Cannot lead a claim |
| H16391 | Other interstitial and deep keratitis, right eye | A | Can lead a claim |
| H16392 | Other interstitial and deep keratitis, left eye | A | Can lead a claim |
| H16393 | Other interstitial and deep keratitis, bilateral | A | Can lead a claim |
| H16399 | Other interstitial and deep keratitis, unspecified eye | None | Cannot lead a claim |
| H16401 | Unspecified corneal neovascularization, right eye | A | Can lead a claim |
| H16402 | Unspecified corneal neovascularization, left eye | A | Can lead a claim |
| H16403 | Unspecified corneal neovascularization, bilateral | A | Can lead a claim |
| H16409 | Unspecified corneal neovascularization, unspecified eye | None | Cannot lead a claim |
| H16411 | Ghost vessels (corneal), right eye | A | Can lead a claim |
| H16412 | Ghost vessels (corneal), left eye | A | Can lead a claim |
| H16413 | Ghost vessels (corneal), bilateral | A | Can lead a claim |
| H16419 | Ghost vessels (corneal), unspecified eye | None | Cannot lead a claim |
| H16421 | Pannus (corneal), right eye | A | Can lead a claim |
| H16422 | Pannus (corneal), left eye | A | Can lead a claim |
| H16423 | Pannus (corneal), bilateral | A | Can lead a claim |
| H16429 | Pannus (corneal), unspecified eye | None | Cannot lead a claim |
| H16431 | Localized vascularization of cornea, right eye | A | Can lead a claim |
| H16432 | Localized vascularization of cornea, left eye | A | Can lead a claim |
| H16433 | Localized vascularization of cornea, bilateral | A | Can lead a claim |
| H16439 | Localized vascularization of cornea, unspecified eye | None | Cannot lead a claim |
| H16441 | Deep vascularization of cornea, right eye | A | Can lead a claim |
| H16442 | Deep vascularization of cornea, left eye | A | Can lead a claim |
| H16443 | Deep vascularization of cornea, bilateral | A | Can lead a claim |
| H16449 | Deep vascularization of cornea, unspecified eye | None | Cannot lead a claim |
| H168 | Other keratitis | A | Can lead a claim |
| H169 | Unspecified keratitis | A | Can lead a claim |
| H1700 | Adherent leukoma, unspecified eye | None | Cannot lead a claim |
| H1701 | Adherent leukoma, right eye | A | Can lead a claim |
| H1702 | Adherent leukoma, left eye | A | Can lead a claim |
| H1703 | Adherent leukoma, bilateral | A | Can lead a claim |
| H1710 | Central corneal opacity, unspecified eye | None | Cannot lead a claim |
| H1711 | Central corneal opacity, right eye | A | Can lead a claim |
| H1712 | Central corneal opacity, left eye | A | Can lead a claim |
| H1713 | Central corneal opacity, bilateral | A | Can lead a claim |
| H17811 | Minor opacity of cornea, right eye | A | Can lead a claim |
| H17812 | Minor opacity of cornea, left eye | A | Can lead a claim |
| H17813 | Minor opacity of cornea, bilateral | A | Can lead a claim |
| H17819 | Minor opacity of cornea, unspecified eye | None | Cannot lead a claim |
| H17821 | Peripheral opacity of cornea, right eye | A | Can lead a claim |
| H17822 | Peripheral opacity of cornea, left eye | A | Can lead a claim |
| H17823 | Peripheral opacity of cornea, bilateral | A | Can lead a claim |
| H17829 | Peripheral opacity of cornea, unspecified eye | None | Cannot lead a claim |
| H1789 | Other corneal scars and opacities | A | Can lead a claim |
| H179 | Unspecified corneal scar and opacity | None | Cannot lead a claim |
| H18001 | Unspecified corneal deposit, right eye | A | Can lead a claim |
| H18002 | Unspecified corneal deposit, left eye | A | Can lead a claim |
| H18003 | Unspecified corneal deposit, bilateral | A | Can lead a claim |
| H18009 | Unspecified corneal deposit, unspecified eye | None | Cannot lead a claim |
| H18011 | Anterior corneal pigmentations, right eye | A | Can lead a claim |
| H18012 | Anterior corneal pigmentations, left eye | A | Can lead a claim |
| H18013 | Anterior corneal pigmentations, bilateral | A | Can lead a claim |
| H18019 | Anterior corneal pigmentations, unspecified eye | None | Cannot lead a claim |
| H18021 | Argentous corneal deposits, right eye | A | Can lead a claim |
| H18022 | Argentous corneal deposits, left eye | A | Can lead a claim |
| H18023 | Argentous corneal deposits, bilateral | A | Can lead a claim |
| H18029 | Argentous corneal deposits, unspecified eye | None | Cannot lead a claim |
| H18031 | Corneal deposits in metabolic disorders, right eye | A | Can lead a claim |
| H18032 | Corneal deposits in metabolic disorders, left eye | A | Can lead a claim |
| H18033 | Corneal deposits in metabolic disorders, bilateral | A | Can lead a claim |
| H18039 | Corneal deposits in metabolic disorders, unspecified eye | None | Cannot lead a claim |
| H18041 | Kayser-Fleischer ring, right eye | A | Can lead a claim |
| H18042 | Kayser-Fleischer ring, left eye | A | Can lead a claim |
| H18043 | Kayser-Fleischer ring, bilateral | A | Can lead a claim |
| H18049 | Kayser-Fleischer ring, unspecified eye | None | Cannot lead a claim |
| H18051 | Posterior corneal pigmentations, right eye | A | Can lead a claim |
| H18052 | Posterior corneal pigmentations, left eye | A | Can lead a claim |
| H18053 | Posterior corneal pigmentations, bilateral | A | Can lead a claim |
| H18059 | Posterior corneal pigmentations, unspecified eye | None | Cannot lead a claim |
| H18061 | Stromal corneal pigmentations, right eye | A | Can lead a claim |
| H18062 | Stromal corneal pigmentations, left eye | A | Can lead a claim |
| H18063 | Stromal corneal pigmentations, bilateral | A | Can lead a claim |
| H18069 | Stromal corneal pigmentations, unspecified eye | None | Cannot lead a claim |
| H1810 | Bullous keratopathy, unspecified eye | None | Cannot lead a claim |
| H1811 | Bullous keratopathy, right eye | A | Can lead a claim |
| H1812 | Bullous keratopathy, left eye | A | Can lead a claim |
| H1813 | Bullous keratopathy, bilateral | A | Can lead a claim |
| H1820 | Unspecified corneal edema | A | Can lead a claim |
| H18211 | Corneal edema secondary to contact lens, right eye | A | Can lead a claim |
| H18212 | Corneal edema secondary to contact lens, left eye | A | Can lead a claim |
| H18213 | Corneal edema secondary to contact lens, bilateral | A | Can lead a claim |
| H18219 | Corneal edema secondary to contact lens, unspecified eye | None | Cannot lead a claim |
| H18221 | Idiopathic corneal edema, right eye | A | Can lead a claim |
| H18222 | Idiopathic corneal edema, left eye | A | Can lead a claim |
| H18223 | Idiopathic corneal edema, bilateral | A | Can lead a claim |
| H18229 | Idiopathic corneal edema, unspecified eye | None | Cannot lead a claim |
| H18231 | Secondary corneal edema, right eye | A | Can lead a claim |
| H18232 | Secondary corneal edema, left eye | A | Can lead a claim |
| H18233 | Secondary corneal edema, bilateral | A | Can lead a claim |
| H18239 | Secondary corneal edema, unspecified eye | None | Cannot lead a claim |
| H1830 | Unspecified corneal membrane change | A | Can lead a claim |
| H18311 | Folds and rupture in Bowman's membrane, right eye | A | Can lead a claim |
| H18312 | Folds and rupture in Bowman's membrane, left eye | A | Can lead a claim |
| H18313 | Folds and rupture in Bowman's membrane, bilateral | A | Can lead a claim |
| H18319 | Folds and rupture in Bowman's membrane, unspecified eye | None | Cannot lead a claim |
| H18321 | Folds in Descemet's membrane, right eye | A | Can lead a claim |
| H18322 | Folds in Descemet's membrane, left eye | A | Can lead a claim |
| H18323 | Folds in Descemet's membrane, bilateral | A | Can lead a claim |
| H18329 | Folds in Descemet's membrane, unspecified eye | None | Cannot lead a claim |
| H18331 | Rupture in Descemet's membrane, right eye | A | Can lead a claim |
| H18332 | Rupture in Descemet's membrane, left eye | A | Can lead a claim |
| H18333 | Rupture in Descemet's membrane, bilateral | A | Can lead a claim |
| H18339 | Rupture in Descemet's membrane, unspecified eye | None | Cannot lead a claim |
| H1840 | Unspecified corneal degeneration | A | Can lead a claim |
| H18411 | Arcus senilis, right eye | A | Can lead a claim |
| H18412 | Arcus senilis, left eye | A | Can lead a claim |
| H18413 | Arcus senilis, bilateral | A | Can lead a claim |
| H18419 | Arcus senilis, unspecified eye | None | Cannot lead a claim |
| H18421 | Band keratopathy, right eye | A | Can lead a claim |
| H18422 | Band keratopathy, left eye | A | Can lead a claim |
| H18423 | Band keratopathy, bilateral | A | Can lead a claim |
| H18429 | Band keratopathy, unspecified eye | None | Cannot lead a claim |
| H1843 | Other calcerous corneal degeneration | A | Can lead a claim |
| H18441 | Keratomalacia, right eye | A | Can lead a claim |
| H18442 | Keratomalacia, left eye | A | Can lead a claim |
| H18443 | Keratomalacia, bilateral | A | Can lead a claim |
| H18449 | Keratomalacia, unspecified eye | None | Cannot lead a claim |
| H18451 | Nodular corneal degeneration, right eye | A | Can lead a claim |
| H18452 | Nodular corneal degeneration, left eye | A | Can lead a claim |
| H18453 | Nodular corneal degeneration, bilateral | A | Can lead a claim |
| H18459 | Nodular corneal degeneration, unspecified eye | None | Cannot lead a claim |
| H18461 | Peripheral corneal degeneration, right eye | A | Can lead a claim |
| H18462 | Peripheral corneal degeneration, left eye | A | Can lead a claim |
| H18463 | Peripheral corneal degeneration, bilateral | A | Can lead a claim |
| H18469 | Peripheral corneal degeneration, unspecified eye | None | Cannot lead a claim |
| H1849 | Other corneal degeneration | A | Can lead a claim |
| H18501 | Unspecified hereditary corneal dystrophies, right eye | A | Can lead a claim |
| H18502 | Unspecified hereditary corneal dystrophies, left eye | A | Can lead a claim |
| H18503 | Unspecified hereditary corneal dystrophies, bilateral | A | Can lead a claim |
| H18509 | Unspecified hereditary corneal dystrophies, unspecified eye | None | Cannot lead a claim |
| H18511 | Endothelial corneal dystrophy, right eye | A | Can lead a claim |
| H18512 | Endothelial corneal dystrophy, left eye | A | Can lead a claim |
| H18513 | Endothelial corneal dystrophy, bilateral | A | Can lead a claim |
| H18519 | Endothelial corneal dystrophy, unspecified eye | None | Cannot lead a claim |
| H18521 | Epithelial (juvenile) corneal dystrophy, right eye | A | Can lead a claim |
| H18522 | Epithelial (juvenile) corneal dystrophy, left eye | A | Can lead a claim |
| H18523 | Epithelial (juvenile) corneal dystrophy, bilateral | A | Can lead a claim |
| H18529 | Epithelial (juvenile) corneal dystrophy, unspecified eye | None | Cannot lead a claim |
| H18531 | Granular corneal dystrophy, right eye | A | Can lead a claim |
| H18532 | Granular corneal dystrophy, left eye | A | Can lead a claim |
| H18533 | Granular corneal dystrophy, bilateral | A | Can lead a claim |
| H18539 | Granular corneal dystrophy, unspecified eye | None | Cannot lead a claim |
| H18541 | Lattice corneal dystrophy, right eye | A | Can lead a claim |
| H18542 | Lattice corneal dystrophy, left eye | A | Can lead a claim |
| H18543 | Lattice corneal dystrophy, bilateral | A | Can lead a claim |
| H18549 | Lattice corneal dystrophy, unspecified eye | None | Cannot lead a claim |
| H18551 | Macular corneal dystrophy, right eye | A | Can lead a claim |
| H18552 | Macular corneal dystrophy, left eye | A | Can lead a claim |
| H18553 | Macular corneal dystrophy, bilateral | A | Can lead a claim |
| H18559 | Macular corneal dystrophy, unspecified eye | None | Cannot lead a claim |
| H18591 | Other hereditary corneal dystrophies, right eye | A | Can lead a claim |
| H18592 | Other hereditary corneal dystrophies, left eye | A | Can lead a claim |
| H18593 | Other hereditary corneal dystrophies, bilateral | A | Can lead a claim |
| H18599 | Other hereditary corneal dystrophies, unspecified eye | None | Cannot lead a claim |
| H18601 | Keratoconus, unspecified, right eye | A | Can lead a claim |
| H18602 | Keratoconus, unspecified, left eye | A | Can lead a claim |
| H18603 | Keratoconus, unspecified, bilateral | A | Can lead a claim |
| H18609 | Keratoconus, unspecified, unspecified eye | None | Cannot lead a claim |
| H18611 | Keratoconus, stable, right eye | A | Can lead a claim |
| H18612 | Keratoconus, stable, left eye | A | Can lead a claim |
| H18613 | Keratoconus, stable, bilateral | A | Can lead a claim |
| H18619 | Keratoconus, stable, unspecified eye | None | Cannot lead a claim |
| H18621 | Keratoconus, unstable, right eye | A | Can lead a claim |
| H18622 | Keratoconus, unstable, left eye | A | Can lead a claim |
| H18623 | Keratoconus, unstable, bilateral | A | Can lead a claim |
| H18629 | Keratoconus, unstable, unspecified eye | None | Cannot lead a claim |
| H1870 | Unspecified corneal deformity | None | Cannot lead a claim |
| H18711 | Corneal ectasia, right eye | A | Can lead a claim |
| H18712 | Corneal ectasia, left eye | A | Can lead a claim |
| H18713 | Corneal ectasia, bilateral | A | Can lead a claim |
| H18719 | Corneal ectasia, unspecified eye | None | Cannot lead a claim |
| H18721 | Corneal staphyloma, right eye | A | Can lead a claim |
| H18722 | Corneal staphyloma, left eye | A | Can lead a claim |
| H18723 | Corneal staphyloma, bilateral | A | Can lead a claim |
| H18729 | Corneal staphyloma, unspecified eye | None | Cannot lead a claim |
| H18731 | Descemetocele, right eye | A | Can lead a claim |
| H18732 | Descemetocele, left eye | A | Can lead a claim |
| H18733 | Descemetocele, bilateral | A | Can lead a claim |
| H18739 | Descemetocele, unspecified eye | None | Cannot lead a claim |
| H18791 | Other corneal deformities, right eye | A | Can lead a claim |
| H18792 | Other corneal deformities, left eye | A | Can lead a claim |
| H18793 | Other corneal deformities, bilateral | A | Can lead a claim |
| H18799 | Other corneal deformities, unspecified eye | None | Cannot lead a claim |
| H18811 | Anesthesia and hypoesthesia of cornea, right eye | A | Can lead a claim |
| H18812 | Anesthesia and hypoesthesia of cornea, left eye | A | Can lead a claim |
| H18813 | Anesthesia and hypoesthesia of cornea, bilateral | A | Can lead a claim |
| H18819 | Anesthesia and hypoesthesia of cornea, unspecified eye | None | Cannot lead a claim |
| H18821 | Corneal disorder due to contact lens, right eye | A | Can lead a claim |
| H18822 | Corneal disorder due to contact lens, left eye | A | Can lead a claim |
| H18823 | Corneal disorder due to contact lens, bilateral | A | Can lead a claim |
| H18829 | Corneal disorder due to contact lens, unspecified eye | None | Cannot lead a claim |
| H18831 | Recurrent erosion of cornea, right eye | A | Can lead a claim |
| H18832 | Recurrent erosion of cornea, left eye | A | Can lead a claim |
| H18833 | Recurrent erosion of cornea, bilateral | A | Can lead a claim |
| H18839 | Recurrent erosion of cornea, unspecified eye | None | Cannot lead a claim |
| H18891 | Other specified disorders of cornea, right eye | A | Can lead a claim |
| H18892 | Other specified disorders of cornea, left eye | A | Can lead a claim |
| H18893 | Other specified disorders of cornea, bilateral | A | Can lead a claim |
| H18899 | Other specified disorders of cornea, unspecified eye | None | Cannot lead a claim |
| H189 | Unspecified disorder of cornea | None | Cannot lead a claim |
| H2000 | Unspecified acute and subacute iridocyclitis | A | Can lead a claim |
| H20011 | Primary iridocyclitis, right eye | A | Can lead a claim |
| H20012 | Primary iridocyclitis, left eye | A | Can lead a claim |
| H20013 | Primary iridocyclitis, bilateral | A | Can lead a claim |
| H20019 | Primary iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H20021 | Recurrent acute iridocyclitis, right eye | A | Can lead a claim |
| H20022 | Recurrent acute iridocyclitis, left eye | A | Can lead a claim |
| H20023 | Recurrent acute iridocyclitis, bilateral | A | Can lead a claim |
| H20029 | Recurrent acute iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H20031 | Secondary infectious iridocyclitis, right eye | A | Can lead a claim |
| H20032 | Secondary infectious iridocyclitis, left eye | A | Can lead a claim |
| H20033 | Secondary infectious iridocyclitis, bilateral | A | Can lead a claim |
| H20039 | Secondary infectious iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H20041 | Secondary noninfectious iridocyclitis, right eye | A | Can lead a claim |
| H20042 | Secondary noninfectious iridocyclitis, left eye | A | Can lead a claim |
| H20043 | Secondary noninfectious iridocyclitis, bilateral | A | Can lead a claim |
| H20049 | Secondary noninfectious iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H20051 | Hypopyon, right eye | A | Can lead a claim |
| H20052 | Hypopyon, left eye | A | Can lead a claim |
| H20053 | Hypopyon, bilateral | A | Can lead a claim |
| H20059 | Hypopyon, unspecified eye | None | Cannot lead a claim |
| H2010 | Chronic iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H2011 | Chronic iridocyclitis, right eye | A | Can lead a claim |
| H2012 | Chronic iridocyclitis, left eye | A | Can lead a claim |
| H2013 | Chronic iridocyclitis, bilateral | A | Can lead a claim |
| H2020 | Lens-induced iridocyclitis, unspecified eye | None | Cannot lead a claim |
| H2021 | Lens-induced iridocyclitis, right eye | A | Can lead a claim |
| H2022 | Lens-induced iridocyclitis, left eye | A | Can lead a claim |
| H2023 | Lens-induced iridocyclitis, bilateral | A | Can lead a claim |
| H20811 | Fuchs' heterochromic cyclitis, right eye | A | Can lead a claim |
| H20812 | Fuchs' heterochromic cyclitis, left eye | A | Can lead a claim |
| H20813 | Fuchs' heterochromic cyclitis, bilateral | A | Can lead a claim |
| H20819 | Fuchs' heterochromic cyclitis, unspecified eye | None | Cannot lead a claim |
| H20821 | Vogt-Koyanagi syndrome, right eye | A | Can lead a claim |
| H20822 | Vogt-Koyanagi syndrome, left eye | A | Can lead a claim |
| H20823 | Vogt-Koyanagi syndrome, bilateral | A | Can lead a claim |
| H20829 | Vogt-Koyanagi syndrome, unspecified eye | None | Cannot lead a claim |
| H209 | Unspecified iridocyclitis | A | Can lead a claim |
| H2100 | Hyphema, unspecified eye | None | Cannot lead a claim |
| H2101 | Hyphema, right eye | A | Can lead a claim |
| H2102 | Hyphema, left eye | A | Can lead a claim |
| H2103 | Hyphema, bilateral | A | Can lead a claim |
| H211X1 | Other vascular disorders of iris and ciliary body, right eye | A | Can lead a claim |
| H211X2 | Other vascular disorders of iris and ciliary body, left eye | A | Can lead a claim |
| H211X3 | Other vascular disorders of iris and ciliary body, bilateral | A | Can lead a claim |
| H211X9 | Other vascular disorders of iris and ciliary body, unsp eye | None | Cannot lead a claim |
| H21211 | Degeneration of chamber angle, right eye | A | Can lead a claim |
| H21212 | Degeneration of chamber angle, left eye | A | Can lead a claim |
| H21213 | Degeneration of chamber angle, bilateral | A | Can lead a claim |
| H21219 | Degeneration of chamber angle, unspecified eye | None | Cannot lead a claim |
| H21221 | Degeneration of ciliary body, right eye | A | Can lead a claim |
| H21222 | Degeneration of ciliary body, left eye | A | Can lead a claim |
| H21223 | Degeneration of ciliary body, bilateral | A | Can lead a claim |
| H21229 | Degeneration of ciliary body, unspecified eye | None | Cannot lead a claim |
| H21231 | Degeneration of iris (pigmentary), right eye | A | Can lead a claim |
| H21232 | Degeneration of iris (pigmentary), left eye | A | Can lead a claim |
| H21233 | Degeneration of iris (pigmentary), bilateral | A | Can lead a claim |
| H21239 | Degeneration of iris (pigmentary), unspecified eye | None | Cannot lead a claim |
| H21241 | Degeneration of pupillary margin, right eye | A | Can lead a claim |
| H21242 | Degeneration of pupillary margin, left eye | A | Can lead a claim |
| H21243 | Degeneration of pupillary margin, bilateral | A | Can lead a claim |
| H21249 | Degeneration of pupillary margin, unspecified eye | None | Cannot lead a claim |
| H21251 | Iridoschisis, right eye | A | Can lead a claim |
| H21252 | Iridoschisis, left eye | A | Can lead a claim |
| H21253 | Iridoschisis, bilateral | A | Can lead a claim |
| H21259 | Iridoschisis, unspecified eye | None | Cannot lead a claim |
| H21261 | Iris atrophy (essential) (progressive), right eye | A | Can lead a claim |
| H21262 | Iris atrophy (essential) (progressive), left eye | A | Can lead a claim |
| H21263 | Iris atrophy (essential) (progressive), bilateral | A | Can lead a claim |
| H21269 | Iris atrophy (essential) (progressive), unspecified eye | None | Cannot lead a claim |
| H21271 | Miotic pupillary cyst, right eye | A | Can lead a claim |
| H21272 | Miotic pupillary cyst, left eye | A | Can lead a claim |
| H21273 | Miotic pupillary cyst, bilateral | A | Can lead a claim |
| H21279 | Miotic pupillary cyst, unspecified eye | None | Cannot lead a claim |
| H2129 | Other iris atrophy | A | Can lead a claim |
| H21301 | Idio cysts of iris, ciliary body or ant chamber, right eye | A | Can lead a claim |
| H21302 | Idio cysts of iris, ciliary body or ant chamber, left eye | A | Can lead a claim |
| H21303 | Idio cysts of iris, ciliary body or ant chamber, bilateral | A | Can lead a claim |
| H21309 | Idio cysts of iris, ciliary body or ant chamber, unsp eye | None | Cannot lead a claim |
| H21311 | Exudative cysts of iris or anterior chamber, right eye | A | Can lead a claim |
| H21312 | Exudative cysts of iris or anterior chamber, left eye | A | Can lead a claim |
| H21313 | Exudative cysts of iris or anterior chamber, bilateral | A | Can lead a claim |
| H21319 | Exudative cysts of iris or anterior chamber, unspecified eye | None | Cannot lead a claim |
| H21321 | Implant cysts of iris, ciliary body or ant chamber, r eye | A | Can lead a claim |
| H21322 | Implant cysts of iris, ciliary body or ant chamber, left eye | A | Can lead a claim |
| H21323 | Implant cysts of iris, ciliary body or ant chamber, bi | A | Can lead a claim |
| H21329 | Implant cysts of iris, ciliary body or ant chamber, unsp eye | None | Cannot lead a claim |
| H21331 | Parastc cyst of iris, ciliary body or ant chamber, right eye | A | Can lead a claim |
| H21332 | Parastc cyst of iris, ciliary body or ant chamber, left eye | A | Can lead a claim |
| H21333 | Parasitic cyst of iris, ciliary body or ant chamber, bi | A | Can lead a claim |
| H21339 | Parastc cyst of iris, ciliary body or ant chamber, unsp eye | None | Cannot lead a claim |
| H21341 | Primary cyst of pars plana, right eye | A | Can lead a claim |
| H21342 | Primary cyst of pars plana, left eye | A | Can lead a claim |
| H21343 | Primary cyst of pars plana, bilateral | A | Can lead a claim |
| H21349 | Primary cyst of pars plana, unspecified eye | None | Cannot lead a claim |
| H21351 | Exudative cyst of pars plana, right eye | A | Can lead a claim |
| H21352 | Exudative cyst of pars plana, left eye | A | Can lead a claim |
| H21353 | Exudative cyst of pars plana, bilateral | A | Can lead a claim |
| H21359 | Exudative cyst of pars plana, unspecified eye | None | Cannot lead a claim |
| H2140 | Pupillary membranes, unspecified eye | None | Cannot lead a claim |
| H2141 | Pupillary membranes, right eye | A | Can lead a claim |
| H2142 | Pupillary membranes, left eye | A | Can lead a claim |
| H2143 | Pupillary membranes, bilateral | A | Can lead a claim |
| H21501 | Unspecified adhesions of iris, right eye | A | Can lead a claim |
| H21502 | Unspecified adhesions of iris, left eye | A | Can lead a claim |
| H21503 | Unspecified adhesions of iris, bilateral | A | Can lead a claim |
| H21509 | Unsp adhesions of iris and ciliary body, unspecified eye | None | Cannot lead a claim |
| H21511 | Anterior synechiae (iris), right eye | A | Can lead a claim |
| H21512 | Anterior synechiae (iris), left eye | A | Can lead a claim |
| H21513 | Anterior synechiae (iris), bilateral | A | Can lead a claim |
| H21519 | Anterior synechiae (iris), unspecified eye | None | Cannot lead a claim |
| H21521 | Goniosynechiae, right eye | A | Can lead a claim |
| H21522 | Goniosynechiae, left eye | A | Can lead a claim |
| H21523 | Goniosynechiae, bilateral | A | Can lead a claim |
| H21529 | Goniosynechiae, unspecified eye | None | Cannot lead a claim |
| H21531 | Iridodialysis, right eye | A | Can lead a claim |
| H21532 | Iridodialysis, left eye | A | Can lead a claim |
| H21533 | Iridodialysis, bilateral | A | Can lead a claim |
| H21539 | Iridodialysis, unspecified eye | None | Cannot lead a claim |
| H21541 | Posterior synechiae (iris), right eye | A | Can lead a claim |
| H21542 | Posterior synechiae (iris), left eye | A | Can lead a claim |
| H21543 | Posterior synechiae (iris), bilateral | A | Can lead a claim |
| H21549 | Posterior synechiae (iris), unspecified eye | None | Cannot lead a claim |
| H21551 | Recession of chamber angle, right eye | A | Can lead a claim |
| H21552 | Recession of chamber angle, left eye | A | Can lead a claim |
| H21553 | Recession of chamber angle, bilateral | A | Can lead a claim |
| H21559 | Recession of chamber angle, unspecified eye | None | Cannot lead a claim |
| H21561 | Pupillary abnormality, right eye | A | Can lead a claim |
| H21562 | Pupillary abnormality, left eye | A | Can lead a claim |
| H21563 | Pupillary abnormality, bilateral | A | Can lead a claim |
| H21569 | Pupillary abnormality, unspecified eye | None | Cannot lead a claim |
| H2181 | Floppy iris syndrome | A | Can lead a claim |
| H2182 | Plateau iris syndrome (post-iridectomy) (postprocedural) | A | Can lead a claim |
| H2189 | Other specified disorders of iris and ciliary body | A | Can lead a claim |
| H219 | Unspecified disorder of iris and ciliary body | None | Cannot lead a claim |
| H22 | Disorders of iris and ciliary body in diseases classd elswhr | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue