H44.012
H44.012 — Panophthalmitis (acute), left eye
Billable / specific codeICD-10-CMleft
H44.012 is a billable, specific ICD-10-CM code for panophthalmitis (acute), left eye. It is valid for submission on a claim.
Risk adjustment
H44.012 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
H44.012 is named in 7 Medicare coverage policies — 7 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
- A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57068Billing and Coding: Ocular Photography - External
Related codes at this level
Codes that share H44.01. If H44.012 is not quite right, the correct code is usually one of these.
Questions about H44.012
- Is H44.012 a billable ICD-10-CM code?
- Yes. H44.012 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H44.012 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).