H57.01

H57.01: Argyll Robertson pupil, atypical

Billable / specific codeICD-10-CM

H57.01 is a billable, specific ICD-10-CM code for argyll robertson pupil, atypical. It is valid for submission on a claim.

Check H57.01 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

syphilitic Argyll Robertson pupil (A52.19)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H57.01 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56453Billing and Coding: Cataract Extraction
A56544Billing and Coding: Cataract Extraction
A56551Billing and Coding: Visual Fields Testing
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

Alphabetic index entries that lead here

Anomaly, anomalous›pupil›function›Argyll Robertson pupil

Code history

Unchanged in every release from FY2024 to FY2027.