H57.04
H57.04: Mydriasis
Billable / specific codeICD-10-CM
H57.04 is a billable, specific ICD-10-CM code for mydriasis. It is valid for submission on a claim.
Check H57.04 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H57.04 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56453Billing and Coding: Cataract Extraction
- A56544Billing and Coding: Cataract Extraction
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Mydriasis(pupil)
- Dilatation›pupil
- Anomaly, anomalous›pupil›function›mydriasis
Code history
Unchanged in every release from FY2024 to FY2027.