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

ICD-10 H44.113

Billable / Specific CC

Panuveitis, bilateral

H44
Block
0
Synonyms
58
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM H44.113

ICD-10-CM code H44.113 represents Panuveitis, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H44). The 2026 edition of ICD-10-CM H44.113 became effective on October 1, 2025.

Coding Tips for H44.113

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

Inpatient DRG impact: CC

H44.113 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 Panuveitis, bilateral. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for H44.113

Local Coverage Determinations (LCDs) from CMS MACs that list H44.113 as a covered diagnosis.

58 LCDs

Showing top 10 of 58 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: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT J1745 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5103 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5121 →
CMS LCD: Billing and Coding: Infliximab
Article ID: 56432, Effective: 2026-01-01 00:00:00, 406 covered, 0 non-covered
CPT Q5104 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H44.113.

9 policies

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Infliximab
Policy ID: ART-56432
Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-56726
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729

CPT Codes Commonly Billed with H44.113

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

No procedure linkages on file for H44.113

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 H44.113 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H44.113 36012 10000

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

ICD-10 H44.113, Billing FAQ

Is ICD-10 code H44.113 billable? +

Yes, H44.113 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is H44.113 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 H44.113 map to? +

Per CMS GEMs, H44.113 maps to ICD-9 codes: 36012. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included