H43.9 — Unspecified disorder of vitreous body
H43.9 is a billable, specific ICD-10-CM code for unspecified disorder of vitreous body. It is valid for submission on a claim.
Risk adjustment
H43.9 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
H43.9 is named in 4 Medicare coverage policies — 4 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
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56774Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
- A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
How H43.9 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H43.9.
- Disease, diseased›vitreous
- Disorder›vitreous body
Related codes at this level
Codes that share H43. If H43.9 is not quite right, the correct code is usually one of these.
Questions about H43.9
- Is H43.9 a billable ICD-10-CM code?
- Yes. H43.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H43.9 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).