ICD-10 H16.261
Billable / SpecificVernal keratoconjunctivitis, with limbar and corneal involvement, right eye
About ICD-10-CM H16.261
ICD-10-CM code H16.261 represents Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye. This is a billable/specific code in the Eye and Adnexa chapter (block H16). The 2026 edition of ICD-10-CM H16.261 became effective on October 1, 2025.
Medicare LCD Coverage for H16.261
Local Coverage Determinations (LCDs) from CMS MACs that list H16.261 as a covered diagnosis.
Showing top 10 of 117 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H16.261.
5 Medicare
1 Aetna
CPT Codes Commonly Billed with H16.261
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 H16.261 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H16.261 | 37032 | 10111 |
| H16.261 | 37213 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H16.261
Other codes in section H15-H22 (Disorders of sclera, cornea, iris and ciliary body).
ICD-10 H16.261, Billing FAQ
Is ICD-10 code H16.261 billable? +
Yes, H16.261 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H16.261 map to? +
Per CMS GEMs, H16.261 maps to ICD-9 codes: 37032, 37213. 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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