New ICD-10 Codes Effective October 1, 2020

This section lists the new eyecare-related ICD-10 codes that are effective October 1, 2020. Some of the codes may apply to rare conditions, but are provided here for reference.

Corneal Dystrophies

CMS is adding laterality to codes describing corneal dystrophies. The following codes are effective beginning October 1, 2020.

Description

Right Eye

Left Eye

Bilateral

Unspecified

Unspecified hereditary

H18.501

H18.502

H18.503

H18.509

Endothelial

H18.511

H18.512

H18.513

H18.519

Epithelial (juvenile)

H18.521

H18.522

H18.523

H18.529

Granular

H18.531

H18.532

H18.533

H18.539

Lattice

H18.541

H18.542

H18.543

H18.549

Macular

H18.551

H18.552

H18.553

H18.559

Other hereditary

H18.591

H18.592

H18.593

H18.599

Saccadic Eye Movements

The following codes are effective beginning October 1, 2020.

Description

Unspecified

Deficient smooth pursuit eye movements

H55.82

Headache

The following codes are effective beginning October 1, 2020.

Description

Unspecified

Headache with orthostatic component, not elsewhere classified

R51.0

Headache, unspecified

R51.9

Corneal Transplant

CMS is adding laterality to codes describing orbital roof fractures. The following codes are effective beginning October 1, 2020.

Description

Right Eye

Left Eye

Bilateral

Unspecified

Rejection

T86.401

T86.402

T86.403

T86.409

Failure

T86.411

T86.412

T86.413

T86.419

Infection

T86.421

T86.422

T86.423

T86.429

Other complications

T86.481

T86.482

T86.483

T86.489

Unspecified complication

T86.491

T86.492

T86.493

T86.499

Nonsurgical Ophthalmic Devices

The following codes are effective beginning October 1, 2020.

Description

Unspecified

Contact lens associated with adverse incidents

Y77.11

Other therapeutic (nonsurgical) and rehabilitative ophthalmic devices associated with adverse incidents

Y77.19