ICD-10 H53.043
Billable / SpecificAmblyopia suspect, bilateral
About ICD-10-CM H53.043
ICD-10-CM code H53.043 represents Amblyopia suspect, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H53). The 2026 edition of ICD-10-CM H53.043 became effective on October 1, 2025.
Medicare LCD Coverage for H53.043
Local Coverage Determinations (LCDs) from CMS MACs that list H53.043 as a covered diagnosis.
Showing top 3. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H53.043.
1 Medicare
CPT Codes Commonly Billed with H53.043
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 H53.043 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 |
|---|---|---|
| H53.043 | 3688 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H53.043
Other codes in section H53-H54 (Visual disturbances and blindness).
ICD-10 H53.043, Billing FAQ
Is ICD-10 code H53.043 billable? +
Yes, H53.043 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H53.043 map to? +
Per CMS GEMs, H53.043 maps to ICD-9 codes: 3688. 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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