H16.26
H16.26: Vernal keratoconjunctivitis, with limbar and corneal involvement
Non-billable headerICD-10-CM
H16.26 is a non-billable header ICD-10-CM code for vernal keratoconjunctivitis, with limbar and corneal involvement. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- vernal conjunctivitis without limbar and corneal involvement (H10.44)
Other codes that can never be billed with H16.26
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H10.44Vernal conjunctivitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead H16.26
4 child codes. Green means billable.
- H16.261Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye
- H16.262Vernal keratoconjunctivitis, with limbar and corneal involvement, left eye
- H16.263Vernal keratoconjunctivitis, with limbar and corneal involvement, bilateral
- H16.269Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye