Is H40.04 a billable ICD-10-CM code?

No. H40.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H40.04 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Glaucoma (H40-H42).

H40.04

H40.04 — Steroid responder

Non-billable headerICD-10-CM

H40.04 is a non-billable header ICD-10-CM code for steroid responder. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H40.04 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.

Code to one of these instead H40.04

4 child codes. Green means billable.

H40.041Steroid responder, right eye
H40.042Steroid responder, left eye
H40.043Steroid responder, bilateral
H40.049Steroid responder, unspecified eye

Related codes at this level

Codes that share H40.0. If H40.04 is not quite right, the correct code is usually one of these.

H40.00Preglaucoma, unspecified
H40.01Open angle with borderline findings, low risk
H40.02Open angle with borderline findings, high risk
H40.03Anatomical narrow angle
H40.05Ocular hypertension
H40.06Primary angle closure without glaucoma damage

Questions about H40.04

Is H40.04 a billable ICD-10-CM code?: No. H40.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H40.04 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Glaucoma (H40-H42).