Is H43 a billable ICD-10-CM code?

No. H43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H43 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).

H43

H43 — Disorders of vitreous body

Non-billable headerICD-10-CM

H43 is a non-billable header ICD-10-CM code for disorders of vitreous body. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H43 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 H43

6 child codes. Green means billable.

H43.0Vitreous prolapse
H43.1Vitreous hemorrhage
H43.2Crystalline deposits in vitreous body
H43.3Other vitreous opacities
H43.8Other disorders of vitreous body
H43.9Unspecified disorder of vitreous body

Questions about H43

Is H43 a billable ICD-10-CM code?: No. H43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H43 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).