H05.123
H05.123 — Orbital myositis, bilateral
Billable / specific codeICD-10-CMbilateral
H05.123 is a billable, specific ICD-10-CM code for orbital myositis, bilateral. It is valid for submission on a claim.
Risk adjustment
H05.123 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
H05.123 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57068Billing and Coding: Ocular Photography - External
Related codes at this level
Codes that share H05.12. If H05.123 is not quite right, the correct code is usually one of these.
Questions about H05.123
- Is H05.123 a billable ICD-10-CM code?
- Yes. H05.123 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H05.123 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of eyelid, lacrimal system and orbit (H00-H05).