Is H10.431 a billable ICD-10-CM code?

Yes. H10.431 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H10.431 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).

What cannot be coded together with H10.431?

H10.431 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H10.431 (H10) and apply to it just the same.

H10.431

H10.431 — Chronic follicular conjunctivitis, right eye

Billable / specific codeICD-10-CMright

H10.431 is a billable, specific ICD-10-CM code for chronic follicular conjunctivitis, right eye. It is valid for submission on a claim.

Excludes1 inherited from the categories above H10.431

These are not written on H10.431, but they bind it: a note on a category applies to every code beneath it. Billing H10.431 with anything listed here is a denial.

Written on H10 — Conjunctivitis

keratoconjunctivitis (H16.2-)

Risk adjustment

H10.431 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

H10.431 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57044Billing and Coding: Removal of Benign Skin Lesions
A57068Billing and Coding: Ocular Photography - External
A57284Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation

Code history

H10.431 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H10.43. If H10.431 is not quite right, the correct code is usually one of these.

Questions about H10.431

Is H10.431 a billable ICD-10-CM code?: Yes. H10.431 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H10.431 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of conjunctiva (H10-H11).
What cannot be coded together with H10.431?: H10.431 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H10.431 (H10) and apply to it just the same.