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

ICD-10 H16.032

Billable / Specific

Corneal ulcer with hypopyon, left eye

H16
Block
0
Synonyms
12
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM H16.032

ICD-10-CM code H16.032 represents Corneal ulcer with hypopyon, left eye. This is a billable/specific code in the Eye and Adnexa chapter (block H16). The 2026 edition of ICD-10-CM H16.032 became effective on October 1, 2025.

Medicare LCD Coverage for H16.032

Local Coverage Determinations (LCDs) from CMS MACs that list H16.032 as a covered diagnosis.

12 LCDs

Showing top 10 of 12 total . 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: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56916, Effective: 2025-10-01 00:00:00, 806 covered, 0 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56916, Effective: 2025-10-01 00:00:00, 806 covered, 0 non-covered
CPT 92132 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56916, Effective: 2025-10-01 00:00:00, 806 covered, 0 non-covered
CPT 92137 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56916, Effective: 2025-10-01 00:00:00, 806 covered, 0 non-covered
CPT 92133 →
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 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56537, Effective: 2025-10-01 00:00:00, 2007 covered, 0 non-covered
CPT 92134 →
CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Article ID: 56537, Effective: 2025-10-01 00:00:00, 2007 covered, 0 non-covered
CPT 92132 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H16.032.

5 policies

4 Medicare

Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56916
Billing and Coding: Ocular Photography - External
Policy ID: ART-57068
Billing and Coding: Visual Field Examination
Policy ID: ART-57637

1 Aetna

Corneal Graft and Amniotic Membrane Transplantation, Corneal Stromal Lenticule Transplantation, Limbal Stem Cell Transplantation, or Sural Nerve Grafting for Ocular Indications
Policy ID: CPB-0293

CPT Codes Commonly Billed with H16.032

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

No procedure linkages on file for H16.032

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 H16.032 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H16.032 37004 10000

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

ICD-10 H16.032, Billing FAQ

Is ICD-10 code H16.032 billable? +

Yes, H16.032 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H16.032 map to? +

Per CMS GEMs, H16.032 maps to ICD-9 codes: 37004. 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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