H21.01

H21.01: Hyphema, right eye

Billable / specific codeICD-10-CMright

H21.01 is a billable, specific ICD-10-CM code for hyphema, right eye. It is valid for submission on a claim.

Check H21.01 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H21.01

A category’s note binds every code beneath it.

Written on H21.0: Hyphema

traumatic hyphema (S05.1-)

Excludes2 inherited from the categories above H21.01

Not part of this code, but both may be coded when both are present.

Written on H21: Other disorders of iris and ciliary body

sympathetic uveitis (H44.1-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H21.01 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
A57068Billing and Coding: Ocular Photography - External
A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Code history

Unchanged in every release from FY2024 to FY2027.