H57.09
H57.09: Other anomalies of pupillary function
Billable / specific codeICD-10-CM
H57.09 is a billable, specific ICD-10-CM code for other anomalies of pupillary function. It is valid for submission on a claim.
Check H57.09 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H57.09 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
- A56615Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Alphabetic index entries that lead here
- Hippus
- Iridoplegia(complete) (partial) (reflex)
- Argyll Robertson phenomenon, pupil or syndrome›atypical
- Argyll Robertson phenomenon, pupil or syndrome›nonsyphilitic
- Paralysis, paralytic›iris
- Anomaly, anomalous›pupil›function›specified type NEC
Code history
Unchanged in every release from FY2024 to FY2027.