MCMCB Pro
H22

H22Disorders of iris and ciliary body in diseases classified elsewhere

Billable / specific codeICD-10-CM

H22 is a billable, specific ICD-10-CM code for disorders of iris and ciliary body in diseases classified elsewhere. It is valid for submission on a claim.

Code first

The underlying condition must be sequenced before this code.

  • underlying disease, such as:
  • gout (M1A.-, M10.-)
  • leprosy (A30.-)
  • parasitic disease (B89)

Risk adjustment

H22 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.

Medicare coverage

H22 is named in 12 Medicare coverage policies 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56453Billing and Coding: Cataract Extraction
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56544Billing and Coding: Cataract Extraction

How H22 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H22.

  • Disorderirisin diseases classified elsewhere

Questions about H22

Is H22 a billable ICD-10-CM code?
Yes. H22 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H22 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.