H15.819
H15.819 — Equatorial staphyloma, unspecified eye
Billable / specific codeICD-10-CMunspecified
H15.819 is a billable, specific ICD-10-CM code for equatorial staphyloma, unspecified eye. It is valid for submission on a claim.
Risk adjustment
H15.819 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
H15.819 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Related codes at this level
Codes that share H15.81. If H15.819 is not quite right, the correct code is usually one of these.
Questions about H15.819
- Is H15.819 a billable ICD-10-CM code?
- Yes. H15.819 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H15.819 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).