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

ICD-10 H57.13

Billable / Specific

Ocular pain, bilateral

H57
Block
0
Synonyms
36
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM H57.13

ICD-10-CM code H57.13 represents Ocular pain, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H57). The 2026 edition of ICD-10-CM H57.13 became effective on October 1, 2025.

Medicare LCD Coverage for H57.13

Local Coverage Determinations (LCDs) from CMS MACs that list H57.13 as a covered diagnosis.

36 LCDs

Showing top 10 of 36 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70543 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70542 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70540 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H57.13.

4 policies

4 Medicare

Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Visual Fields
Policy ID: ART-57483
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657

CPT Codes Commonly Billed with H57.13

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

No procedure linkages on file for H57.13

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 H57.13 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H57.13 37991 10000

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

ICD-10 H57.13, Billing FAQ

Is ICD-10 code H57.13 billable? +

Yes, H57.13 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H57.13 map to? +

Per CMS GEMs, H57.13 maps to ICD-9 codes: 37991. 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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