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).

What cannot be coded together with H27.113?

H27.113 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H27.113 (H27) and apply to it just the same.

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.

Excludes1 inherited from the categories above H27.113

These are not written on H27.113, but they bind it: a note on a category applies to every code beneath it. Billing H27.113 with anything listed here is a denial.

Written on H27 — Other disorders of lens

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

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)

Code history

H27.113 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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).
What cannot be coded together with H27.113?: H27.113 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H27.113 (H27) and apply to it just the same.