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

ICD-10 H40.031

Billable / Specific

Anatomical narrow angle, right eye

H40
Block
0
Synonyms
91
LCDs
19
Payer Policies
1
Linked CPTs

About ICD-10-CM H40.031

ICD-10-CM code H40.031 represents Anatomical narrow angle, right eye. This is a billable/specific code in the Eye and Adnexa chapter (block H40). The 2026 edition of ICD-10-CM H40.031 became effective on October 1, 2025.

Medicare LCD Coverage for H40.031

Local Coverage Determinations (LCDs) from CMS MACs that list H40.031 as a covered diagnosis.

91 LCDs

Showing top 10 of 91 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 Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66982 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66983 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66852 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66850 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66989 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H40.031.

19 policies

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
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: Cataract Extraction
Policy ID: ART-56544
Billing and Coding: Corneal Pachymetry
Policy ID: ART-56548

CPT Codes Commonly Billed with H40.031

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

1 linkages
  • 76514 CMS LCD: Billing and Coding: Corneal Pachymetry CMS LCD

Convert H40.031 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H40.031 36502 10000

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

ICD-10 H40.031, Billing FAQ

Is ICD-10 code H40.031 billable? +

Yes, H40.031 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 H40.031? +

Procedures frequently paired with H40.031 include: 76514.

What ICD-9 codes does H40.031 map to? +

Per CMS GEMs, H40.031 maps to ICD-9 codes: 36502. 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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