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H43.9

H43.9: Unspecified disorder of vitreous body

Billable / specific codeICD-10-CM

H43.9 is a billable, specific ICD-10-CM code for unspecified disorder of vitreous body. It is valid for submission on a claim.

Check H43.9 with the rest of the claim: free scrubber

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H43.9 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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)

Alphabetic index entries that lead here

  • Disease, diseased›vitreous
  • Disorder›vitreous body

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H43

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.