H55.01
H55.01: Congenital nystagmus
Billable / specific codeICD-10-CM
H55.01 is a billable, specific ICD-10-CM code for congenital nystagmus. It is valid for submission on a claim.
Check H55.01 with the rest of the claim: free scrubberOther codes that can never be billed with H55.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Q15Other congenital malformations of eye
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H55.01 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56551Billing and Coding: Visual Fields Testing
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A56799Billing and Coding: Visual Fields Testing
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Nystagmus›congenital
Code history
Unchanged in every release from FY2024 to FY2027.