Is H49.30 a billable ICD-10-CM code?

Yes. H49.30 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H49.30 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52).

H49.30

H49.30 — Total (external) ophthalmoplegia, unspecified eye

Billable / specific codeICD-10-CMunspecified

H49.30 is a billable, specific ICD-10-CM code for total (external) ophthalmoplegia, unspecified eye. It is valid for submission on a claim.

Excludes2 inherited from the categories above H49.30

Also inherited, and the opposite of Excludes1: these conditions are not part of H49.30, but a patient can have both, so you may code both.

Written on H49 — Paralytic strabismus

internal ophthalmoplegia (H52.51-)
internuclear ophthalmoplegia (H51.2-)
progressive supranuclear ophthalmoplegia (G23.1)

Risk adjustment

H49.30 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

H49.30 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57637Billing and Coding: Visual Field Examination

Code history

H49.30 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H49.3. If H49.30 is not quite right, the correct code is usually one of these.

Questions about H49.30

Is H49.30 a billable ICD-10-CM code?: Yes. H49.30 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H49.30 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52).