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

ICD-10 H05.831

Billable / Specific

Thyroid orbitopathy, right orbit

H05
Block
0
Synonyms
165
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM H05.831

ICD-10-CM code H05.831 represents Thyroid orbitopathy, right orbit. This is a billable/specific code in the Eye and Adnexa chapter (block H05). The 2026 edition of ICD-10-CM H05.831 became effective on October 1, 2025.

Medicare LCD Coverage for H05.831

Local Coverage Determinations (LCDs) from CMS MACs that list H05.831 as a covered diagnosis.

165 LCDs

Showing top 10 of 165 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92081 →
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: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70543 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H05.831.

9 policies

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799

CPT Codes Commonly Billed with H05.831

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

No procedure linkages on file for H05.831

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.

ICD-10 H05.831, Billing FAQ

Is ICD-10 code H05.831 billable? +

Yes, H05.831 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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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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