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

ICD-10 H44.019

Billable / Specific CC

Panophthalmitis (acute), unspecified eye

H44
Block
0
Synonyms
3
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM H44.019

ICD-10-CM code H44.019 represents Panophthalmitis (acute), unspecified eye. This is a billable/specific code in the Eye and Adnexa chapter (block H44). The 2026 edition of ICD-10-CM H44.019 became effective on October 1, 2025.

Coding Tips for H44.019

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

H44.019 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Panophthalmitis (acute), unspecified eye. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for H44.019

Local Coverage Determinations (LCDs) from CMS MACs that list H44.019 as a covered diagnosis.

3 LCDs

Showing top 3. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H44.019.

1 policies

1 Medicare

Billing and Coding: Visual Field Examination
Policy ID: ART-57637

CPT Codes Commonly Billed with H44.019

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

No procedure linkages on file for H44.019

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 H44.019 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H44.019 36002 10000

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

ICD-10 H44.019, Billing FAQ

Is ICD-10 code H44.019 billable? +

Yes, H44.019 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is H44.019 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does H44.019 map to? +

Per CMS GEMs, H44.019 maps to ICD-9 codes: 36002. 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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