ICD-10 H57.01
Billable / SpecificArgyll Robertson pupil, atypical
About ICD-10-CM H57.01
ICD-10-CM code H57.01 represents Argyll Robertson pupil, atypical. This is a billable/specific code in the Eye and Adnexa chapter (block H57). The 2026 edition of ICD-10-CM H57.01 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with H57.01. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- syphilitic Argyll Robertson pupil (A52.19)
Medicare LCD Coverage for H57.01
Local Coverage Determinations (LCDs) from CMS MACs that list H57.01 as a covered diagnosis.
Showing top 10 of 74 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H57.01.
5 Medicare
CPT Codes Commonly Billed with H57.01
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 H57.01 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 |
|---|---|---|
| H57.01 | 37945 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H57.01
Other codes in section H55-H57 (Other disorders of eye and adnexa).
ICD-10 H57.01, Billing FAQ
Is ICD-10 code H57.01 billable? +
Yes, H57.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for H57.01? +
Type 1 Excludes (never code together with H57.01): syphilitic Argyll Robertson pupil (A52.19)
What ICD-9 codes does H57.01 map to? +
Per CMS GEMs, H57.01 maps to ICD-9 codes: 37945. 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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