H57.13
H57.13 — Ocular pain, bilateral
Billable / specific codeICD-10-CMbilateral
H57.13 is a billable, specific ICD-10-CM code for ocular pain, bilateral. It is valid for submission on a claim.
Risk adjustment
H57.13 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.
Medicare coverage
H57.13 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57483Billing and Coding: Visual Fields
- A57657Billing and Coding: Sedimentation Rate, Erythrocyte
Related codes at this level
Codes that share H57.1. If H57.13 is not quite right, the correct code is usually one of these.
Questions about H57.13
- Is H57.13 a billable ICD-10-CM code?
- Yes. H57.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H57.13 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Other disorders of eye and adnexa (H55-H57).