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

ICD-10 H40.152

Billable / Specific

Residual stage of open-angle glaucoma, left eye

H40
Block
0
Synonyms
53
LCDs
16
Payer Policies
0
Linked CPTs

About ICD-10-CM H40.152

ICD-10-CM code H40.152 represents Residual stage of open-angle glaucoma, left eye. This is a billable/specific code in the Eye and Adnexa chapter (block H40). The 2026 edition of ICD-10-CM H40.152 became effective on October 1, 2025.

Medicare LCD Coverage for H40.152

Local Coverage Determinations (LCDs) from CMS MACs that list H40.152 as a covered diagnosis.

53 LCDs

Showing top 10 of 53 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: Corneal Pachymetry
Article ID: 56457, Effective: 2026-01-22 00:00:00, 217 covered, 0 non-covered
CPT 76514 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: Corneal Pachymetry
Article ID: 56611, Effective: 2025-10-01 00:00:00, 214 covered, 0 non-covered
CPT 76514 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H40.152.

16 policies

5 Medicare

Billing and Coding: Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach (0192T 66183)
Policy ID: ART-52432
Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
Policy ID: ART-55639
Billing and Coding: Corneal Pachymetry
Policy ID: ART-56457
Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537

CPT Codes Commonly Billed with H40.152

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

No procedure linkages on file for H40.152

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 H40.152 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H40.152 36515 10000

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

ICD-10 H40.152, Billing FAQ

Is ICD-10 code H40.152 billable? +

Yes, H40.152 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H40.152 map to? +

Per CMS GEMs, H40.152 maps to ICD-9 codes: 36515. 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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