Is H05.0 a billable ICD-10-CM code?

No. H05.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H05.0 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).

H05.0

H05.0 — Acute inflammation of orbit

Non-billable headerICD-10-CM

H05.0 is a non-billable header ICD-10-CM code for acute inflammation of orbit. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H05.0 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.

Code to one of these instead H05.0

5 child codes. Green means billable.

H05.00Unspecified acute inflammation of orbit
H05.01Cellulitis of orbit
H05.02Osteomyelitis of orbit
H05.03Periostitis of orbit
H05.04Tenonitis of orbit

Related codes at this level

Codes that share H05. If H05.0 is not quite right, the correct code is usually one of these.

H05.1Chronic inflammatory disorders of orbit
H05.2Exophthalmic conditions
H05.3Deformity of orbit
H05.4Enophthalmos
H05.5Retained (old) foreign body following penetrating wound of orbit
H05.8Other disorders of orbit
H05.9Unspecified disorder of orbit

Questions about H05.0

Is H05.0 a billable ICD-10-CM code?: No. H05.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H05.0 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).