H20.011
H20.011: Primary iridocyclitis, right eye
Billable / specific codeICD-10-CMright
H20.011 is a billable, specific ICD-10-CM code for primary iridocyclitis, right eye. It is valid for submission on a claim.
Check H20.011 with the rest of the claim: free scrubberExcludes1 inherited from the categories above H20.011
A category’s note binds every code beneath it.
Written on H20.0: Acute and subacute iridocyclitis
- iridocyclitis, iritis, uveitis (due to) (in) diabetes mellitus (E08-E13 with .39)
- iridocyclitis, iritis, uveitis (due to) (in) diphtheria (A36.89)
- iridocyclitis, iritis, uveitis (due to) (in) gonococcal (A54.32)
- iridocyclitis, iritis, uveitis (due to) (in) herpes (simplex) (B00.51)
- iridocyclitis, iritis, uveitis (due to) (in) herpes zoster (B02.32)
- iridocyclitis, iritis, uveitis (due to) (in) late congenital syphilis (A50.39)
- iridocyclitis, iritis, uveitis (due to) (in) late syphilis (A52.71)
- iridocyclitis, iritis, uveitis (due to) (in) sarcoidosis (D86.83)
- iridocyclitis, iritis, uveitis (due to) (in) syphilis (A51.43)
- iridocyclitis, iritis, uveitis (due to) (in) toxoplasmosis (B58.09)
- iridocyclitis, iritis, uveitis (due to) (in) tuberculosis (A18.54)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H20.011 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52423Billing and Coding: Infliximab and biosimilars
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56672Billing and Coding: Electroretinography (ERG)
Code history
Unchanged in every release from FY2024 to FY2027.