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

ICD-10 H22

Billable / Specific

Disorders of iris and ciliary body in diseases classified elsewhere

H22
Block
0
Synonyms
80
LCDs
12
Payer Policies
9
Linked CPTs

About ICD-10-CM H22

ICD-10-CM code H22 represents Disorders of iris and ciliary body in diseases classified elsewhere. This is a billable/specific code in the Eye and Adnexa chapter (block H22). The 2026 edition of ICD-10-CM H22 became effective on October 1, 2025.

Coding Notes

Code First

  • underlying disease, such as:
  • gout (M1A.-, M10.-)
  • leprosy (A30.-)
  • parasitic disease (B89)

Medicare LCD Coverage for H22

Local Coverage Determinations (LCDs) from CMS MACs that list H22 as a covered diagnosis.

80 LCDs

Showing top 10 of 80 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: Cataract Extraction
Article ID: 56453, Effective: 2025-10-01 00:00:00, 422 covered, 0 non-covered
CPT 66982 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56453, Effective: 2025-10-01 00:00:00, 422 covered, 0 non-covered
CPT 66983 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56453, Effective: 2025-10-01 00:00:00, 422 covered, 0 non-covered
CPT 66852 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56453, Effective: 2025-10-01 00:00:00, 422 covered, 0 non-covered
CPT 66850 →
CMS LCD: Billing and Coding: Cataract Extraction
Article ID: 56453, Effective: 2025-10-01 00:00:00, 422 covered, 0 non-covered
CPT 66840 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H22.

12 policies

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Cataract Extraction
Policy ID: ART-56453
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Cataract Extraction
Policy ID: ART-56544
Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)
Policy ID: ART-56615

CPT Codes Commonly Billed with H22

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

9 linkages
  • 66987 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66840 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66852 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66850 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66940 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66983 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66988 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66982 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD
  • 66920 CMS LCD: Billing and Coding: Cataract Extraction (including Complex Cataract Surgery) CMS LCD

Convert H22 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H22 36489 10000

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

ICD-10 H22, Billing FAQ

Is ICD-10 code H22 billable? +

Yes, H22 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 H22? +

Procedures frequently paired with H22 include: 66987, 66840, 66852, 66850, 66940.

What ICD-9 codes does H22 map to? +

Per CMS GEMs, H22 maps to ICD-9 codes: 36489. 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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