Is H52.13 a billable ICD-10-CM code?

Yes. H52.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H52.13 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).

What cannot be coded together with H52.13?

H52.13 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H52.13 (H52.1) and apply to it just the same.

H52.13

H52.13 — Myopia, bilateral

Billable / specific codeICD-10-CMbilateral

H52.13 is a billable, specific ICD-10-CM code for myopia, bilateral. It is valid for submission on a claim.

Excludes1 inherited from the categories above H52.13

These are not written on H52.13, but they bind it: a note on a category applies to every code beneath it. Billing H52.13 with anything listed here is a denial.

Written on H52.1 — Myopia

degenerative myopia (H44.2-)

Risk adjustment

H52.13 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.

Code history

H52.13 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 H52.1. If H52.13 is not quite right, the correct code is usually one of these.

Questions about H52.13

Is H52.13 a billable ICD-10-CM code?: Yes. H52.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H52.13 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).
What cannot be coded together with H52.13?: H52.13 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H52.13 (H52.1) and apply to it just the same.