Is H57.0 a billable ICD-10-CM code?

No. H57.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H57.0 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Other disorders of eye and adnexa (H55-H57).

H57.0

H57.0 — Anomalies of pupillary function

Non-billable headerICD-10-CM

H57.0 is a non-billable header ICD-10-CM code for anomalies of pupillary function. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H57.0 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 to one of these instead H57.0

7 child codes. Green means billable.

H57.00Unspecified anomaly of pupillary function
H57.01Argyll Robertson pupil, atypical
H57.02Anisocoria
H57.03Miosis
H57.04Mydriasis
H57.05Tonic pupil
H57.09Other anomalies of pupillary function

Related codes at this level

Codes that share H57. If H57.0 is not quite right, the correct code is usually one of these.

H57.1Ocular pain
H57.8Other specified disorders of eye and adnexa
H57.9Unspecified disorder of eye and adnexa

Questions about H57.0

Is H57.0 a billable ICD-10-CM code?: No. H57.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H57.0 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Other disorders of eye and adnexa (H55-H57).