ICD-10 H52.10
Billable / SpecificMyopia, unspecified eye
About ICD-10-CM H52.10
ICD-10-CM code H52.10 represents Myopia, unspecified eye. This is a billable/specific code in the Eye and Adnexa chapter (block H52). The 2026 edition of ICD-10-CM H52.10 became effective on October 1, 2025.
Medicare LCD Coverage for H52.10
Local Coverage Determinations (LCDs) from CMS MACs that list H52.10 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 H52.10.
1 Aetna
CPT Codes Commonly Billed with H52.10
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 92014 Comprehensive eye exam established — glaucoma, glaucoma suspect, diabetic retinopathy, macular degeneration, routine eye exam, myopia, presbyopia, visual disturbance Ophthalmology
Convert H52.10 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 |
|---|---|---|
| H52.10 | 3671 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H52.10
Other codes in section H49-H52 (Disorders of ocular muscles, binocular movement, accommodation and refraction).
ICD-10 H52.10, Billing FAQ
Is ICD-10 code H52.10 billable? +
Yes, H52.10 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 H52.10? +
Procedures frequently paired with H52.10 include: 92014.
What ICD-9 codes does H52.10 map to? +
Per CMS GEMs, H52.10 maps to ICD-9 codes: 3671. 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 June 1, 2026.
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