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H27.03

H27.03: Aphakia, bilateral

Billable / specific codeICD-10-CMbilateral

H27.03 is a billable, specific ICD-10-CM code for aphakia, bilateral. It is valid for submission on a claim.

Check H27.03 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H27.03

A category’s note binds every code beneath it.

Written on H27.0: Aphakia

  • cataract extraction status (Z98.4-)
  • congenital absence of lens (Q12.3)
  • congenital aphakia (Q12.3)

Written on H27: Other disorders of lens

  • congenital lens malformations (Q12.-)
  • mechanical complications of intraocular lens implant (T85.2)
  • pseudophakia (Z96.1)

Risk adjustment

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

Medicare coverage

H27.03 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52499Refractive Lenses - Policy Article
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
  • A57068Billing and Coding: Ocular Photography - External

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H27.0

ICD-10-CMFY2027· effective October 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.