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

ICD-10 H27.01

Billable / Specific

Aphakia, right eye

H27
Block
0
Synonyms
40
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM H27.01

ICD-10-CM code H27.01 represents Aphakia, right eye. This is a billable/specific code in the Eye and Adnexa chapter (block H27). The 2026 edition of ICD-10-CM H27.01 became effective on October 1, 2025.

Medicare LCD Coverage for H27.01

Local Coverage Determinations (LCDs) from CMS MACs that list H27.01 as a covered diagnosis.

40 LCDs

Showing top 10 of 40 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 56549, Effective: 2019-09-19 00:00:00, 97 covered, 0 non-covered
CPT 92136 →
CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 56549, Effective: 2019-09-19 00:00:00, 97 covered, 0 non-covered
CPT 76519 →
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: 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 →
CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 57070, Effective: 2025-05-29 00:00:00, 240 covered, 0 non-covered
CPT 92136 →
CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 57070, Effective: 2025-05-29 00:00:00, 240 covered, 0 non-covered
CPT 76519 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H27.01.

7 policies

5 Medicare

Refractive Lenses - Policy Article
Policy ID: ART-52499
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Policy ID: ART-56549
Billing and Coding: Ocular Photography - External
Policy ID: ART-57068
Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Policy ID: ART-57070

CPT Codes Commonly Billed with H27.01

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

No procedure linkages on file for H27.01

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 H27.01 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H27.01 37931 10000

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

ICD-10 H27.01, Billing FAQ

Is ICD-10 code H27.01 billable? +

Yes, H27.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H27.01 map to? +

Per CMS GEMs, H27.01 maps to ICD-9 codes: 37931. 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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