H01.8B
H01.8B — Other specified inflammation of left eye, upper and lower eyelids
Billable / specific codeICD-10-CMleft
H01.8B is a billable, specific ICD-10-CM code for other specified inflammation of left eye, upper and lower eyelids. It is valid for submission on a claim.
Risk adjustment
H01.8B does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H01.8B is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56551Billing and Coding: Visual Fields Testing
- A56799Billing and Coding: Visual Fields Testing
- A57068Billing and Coding: Ocular Photography - External
- A57637Billing and Coding: Visual Field Examination
Related codes at this level
Codes that share H01.8. If H01.8B is not quite right, the correct code is usually one of these.
- H01.81Other specified inflammation of right upper eyelid
- H01.82Other specified inflammation of right lower eyelid
- H01.83Other specified inflammation of right eye, unspecified eyelid
- H01.84Other specified inflammation of left upper eyelid
- H01.85Other specified inflammation of left lower eyelid
- H01.86Other specified inflammation of left eye, unspecified eyelid
- H01.89Other specified inflammation of unspecified eye, unspecified eyelid
- H01.8AOther specified inflammation of right eye, upper and lower eyelids
Questions about H01.8B
- Is H01.8B a billable ICD-10-CM code?
- Yes. H01.8B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H01.8B sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).