H27.113
H27.113 — Subluxation of lens, bilateral
Billable / specific codeICD-10-CMbilateral
H27.113 is a billable, specific ICD-10-CM code for subluxation of lens, bilateral. It is valid for submission on a claim.
Risk adjustment
H27.113 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
H27.113 is named in 19 Medicare coverage policies — 19 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
- A56453Billing and Coding: Cataract Extraction
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Related codes at this level
Codes that share H27.11. If H27.113 is not quite right, the correct code is usually one of these.
Questions about H27.113
- Is H27.113 a billable ICD-10-CM code?
- Yes. H27.113 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H27.113 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).