ICD-10 H40.059
Billable / SpecificOcular hypertension, unspecified eye
About ICD-10-CM H40.059
ICD-10-CM code H40.059 represents Ocular hypertension, unspecified eye. This is a billable/specific code in the Eye and Adnexa chapter (block H40). The 2026 edition of ICD-10-CM H40.059 became effective on October 1, 2025.
Medicare LCD Coverage for H40.059
Local Coverage Determinations (LCDs) from CMS MACs that list H40.059 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H40.059.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H40.059 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H40.059
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 H40.059 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 |
|---|---|---|
| H40.059 | 36504 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H40.059
Other codes in section H40-H42 (Glaucoma).
ICD-10 H40.059, Billing FAQ
Is ICD-10 code H40.059 billable? +
Yes, H40.059 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H40.059 map to? +
Per CMS GEMs, H40.059 maps to ICD-9 codes: 36504. 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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