H57.1
H57.1 — Ocular pain
Non-billable headerICD-10-CM
H57.1 is a non-billable header ICD-10-CM code for ocular pain. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with H57.1
These codes carry an Excludes1 note pointing at H57.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H57.1 alone.
- R52Pain, unspecified
Risk adjustment
H57.1 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 H57.1
4 child codes. Green means billable.
Related codes at this level
Codes that share H57. If H57.1 is not quite right, the correct code is usually one of these.
Questions about H57.1
- Is H57.1 a billable ICD-10-CM code?
- No. H57.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H57.1 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Other disorders of eye and adnexa (H55-H57).