H51.11
H51.11: Convergence insufficiency
Billable / specific codeICD-10-CM
H51.11 is a billable, specific ICD-10-CM code for convergence insufficiency. It is valid for submission on a claim.
Check H51.11 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H51.11 is named in 25 Medicare coverage policies: 25 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56551Billing and Coding: Visual Fields Testing
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
Alphabetic index entries that lead here
- Exophoria›convergence, insufficiency
- Insufficiency, insufficient›convergence
- Disorder›binocular›movement›convergence›insufficiency
Code history
Unchanged in every release from FY2024 to FY2027.