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

ICD-10 H18.513

Billable / Specific

Endothelial corneal dystrophy, bilateral

H18
Block
0
Synonyms
19
LCDs
8
Payer Policies
2
Linked CPTs

About ICD-10-CM H18.513

ICD-10-CM code H18.513 represents Endothelial corneal dystrophy, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H18). The 2026 edition of ICD-10-CM H18.513 became effective on October 1, 2025.

Medicare LCD Coverage for H18.513

Local Coverage Determinations (LCDs) from CMS MACs that list H18.513 as a covered diagnosis.

19 LCDs

Showing top 10 of 19 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Corneal Pachymetry
Article ID: 56457, Effective: 2026-01-22 00:00:00, 217 covered, 0 non-covered
CPT 76514 →
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: Corneal Pachymetry
Article ID: 56611, Effective: 2025-10-01 00:00:00, 214 covered, 0 non-covered
CPT 76514 →
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 Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H18.513.

8 policies

5 Medicare

Billing and Coding: Corneal Pachymetry
Policy ID: ART-56457
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Corneal Pachymetry
Policy ID: ART-56548
Billing and Coding: Corneal Pachymetry
Policy ID: ART-56611
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56916

CPT Codes Commonly Billed with H18.513

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

2 linkages
  • 76514 CMS LCD: Billing and Coding: Corneal Pachymetry CMS LCD
  • 92499 CMS LCD: Billing and Coding: Corneal Pachymetry CMS LCD

ICD-10 H18.513, Billing FAQ

Is ICD-10 code H18.513 billable? +

Yes, H18.513 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with H18.513? +

Procedures frequently paired with H18.513 include: 76514, 92499.

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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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