H21.0
H21.0 — Hyphema
Non-billable headerICD-10-CM
H21.0 is a non-billable header ICD-10-CM code for hyphema. 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.
- traumatic hyphema (S05.1-)
Risk adjustment
H21.0 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 H21.0
4 child codes. Green means billable.
Related codes at this level
Codes that share H21. If H21.0 is not quite right, the correct code is usually one of these.
- H21.1Other vascular disorders of iris and ciliary body
- H21.2Degeneration of iris and ciliary body
- H21.3Cyst of iris, ciliary body and anterior chamber
- H21.4Pupillary membranes
- H21.5Other and unspecified adhesions and disruptions of iris and ciliary body
- H21.8Other specified disorders of iris and ciliary body
- H21.9Unspecified disorder of iris and ciliary body
Questions about H21.0
- Is H21.0 a billable ICD-10-CM code?
- No. H21.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H21.0 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).
- What cannot be coded together with H21.0?
- H21.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.