Is H15.05 a billable ICD-10-CM code?

No. H15.05 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H15.05 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of sclera, cornea, iris and ciliary body (H15-H22).

H15.05

H15.05 — Scleromalacia perforans

Non-billable headerICD-10-CM

H15.05 is a non-billable header ICD-10-CM code for scleromalacia perforans. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H15.05 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 H15.05

4 child codes. Green means billable.

H15.051Scleromalacia perforans, right eye
H15.052Scleromalacia perforans, left eye
H15.053Scleromalacia perforans, bilateral
H15.059Scleromalacia perforans, unspecified eye

Related codes at this level

Codes that share H15.0. If H15.05 is not quite right, the correct code is usually one of these.

H15.00Unspecified scleritis
H15.01Anterior scleritis
H15.02Brawny scleritis
H15.03Posterior scleritis
H15.04Scleritis with corneal involvement
H15.09Other scleritis

Questions about H15.05

Is H15.05 a billable ICD-10-CM code?: No. H15.05 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H15.05 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of sclera, cornea, iris and ciliary body (H15-H22).