Is H16.31 a billable ICD-10-CM code?

No. H16.31 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H16.31 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).

H16.31

H16.31 — Corneal abscess

Non-billable headerICD-10-CM

H16.31 is a non-billable header ICD-10-CM code for corneal abscess. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H16.31 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 H16.31

4 child codes. Green means billable.

H16.311Corneal abscess, right eye
H16.312Corneal abscess, left eye
H16.313Corneal abscess, bilateral
H16.319Corneal abscess, unspecified eye

Related codes at this level

Codes that share H16.3. If H16.31 is not quite right, the correct code is usually one of these.

H16.30Unspecified interstitial keratitis
H16.32Diffuse interstitial keratitis
H16.33Sclerosing keratitis
H16.39Other interstitial and deep keratitis

Questions about H16.31

Is H16.31 a billable ICD-10-CM code?: No. H16.31 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H16.31 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).