ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H00.035

Billable / Specific

Abscess of left lower eyelid

H00
Block
0
Synonyms
4
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM H00.035

ICD-10-CM code H00.035 represents Abscess of left lower eyelid. This is a billable/specific code in the Eye and Adnexa chapter (block H00). The 2026 edition of ICD-10-CM H00.035 became effective on October 1, 2025.

Medicare LCD Coverage for H00.035

Local Coverage Determinations (LCDs) from CMS MACs that list H00.035 as a covered diagnosis.

4 LCDs

Showing top 4. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ocular Photography - External
Article ID: 57068, Effective: 2025-10-01 00:00:00, 1056 covered, 0 non-covered
CPT 92285 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H00.035.

2 policies

2 Medicare

Billing and Coding: Ocular Photography - External
Policy ID: ART-57068
Billing and Coding: Visual Field Examination
Policy ID: ART-57637

CPT Codes Commonly Billed with H00.035

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H00.035

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H00.035 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H00.035 37313 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H00.035, Billing FAQ

Is ICD-10 code H00.035 billable? +

Yes, H00.035 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H00.035 map to? +

Per CMS GEMs, H00.035 maps to ICD-9 codes: 37313. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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