H44.2B3 — Degenerative myopia with macular hole, bilateral
H44.2B3 is a billable, specific ICD-10-CM code for degenerative myopia with macular hole, bilateral. It is valid for submission on a claim.
Risk adjustment
H44.2B3 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
H44.2B3 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53008Billing and Coding: Intraocular Bevacizumab
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56551Billing and Coding: Visual Fields Testing
Code history
What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.
- revisedFY2024-FY2026
Degenerative myopia with macular hole, bilateral eye → Degenerative myopia with macular hole, bilateral
Related codes at this level
Codes that share H44.2B. If H44.2B3 is not quite right, the correct code is usually one of these.
Questions about H44.2B3
- Is H44.2B3 a billable ICD-10-CM code?
- Yes. H44.2B3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H44.2B3 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of vitreous body and globe (H43-H44).