H22 — Disorders of iris and ciliary body in diseases classified elsewhere
H22 is a billable, specific ICD-10-CM code for disorders of iris and ciliary body in diseases classified elsewhere. It is valid for submission on a claim.
Risk adjustment
H22 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
H22 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56453Billing and Coding: Cataract Extraction
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56544Billing and Coding: Cataract Extraction
How H22 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H22.
- Disorder›iris›in diseases classified elsewhere
Questions about H22
- Is H22 a billable ICD-10-CM code?
- Yes. H22 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H22 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of sclera, cornea, iris and ciliary body (H15-H22).