H43.822
H43.822 — Vitreomacular adhesion, left eye
Billable / specific codeICD-10-CMleft
H43.822 is a billable, specific ICD-10-CM code for vitreomacular adhesion, left eye. It is valid for submission on a claim.
Risk adjustment
H43.822 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
H43.822 is named in 14 Medicare coverage policies — 14 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
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56544Billing and Coding: Cataract Extraction
Related codes at this level
Codes that share H43.82. If H43.822 is not quite right, the correct code is usually one of these.
Questions about H43.822
- Is H43.822 a billable ICD-10-CM code?
- Yes. H43.822 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H43.822 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).