Category · FY2027
H40 Glaucoma
- Header · not billable
- Some codes take a 7th character
H40 is not billable. The category heads 252 billable codes in FY2027, grouped under 9 subdivisions.
Index → code
Where it sits
- Billable codes
- 252
- Subdivisions
- 9
- CC / MCC codes
- 4 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 40
Codes in H40
- H40.0Glaucoma suspectHeader
- H40.00Preglaucoma, unspecifiedHeader
- H40.001Preglaucoma, unspecified, right eyeBillable
- H40.002Preglaucoma, unspecified, left eyeBillable
- H40.003Preglaucoma, unspecified, bilateralBillable
- H40.009Preglaucoma, unspecified, unspecified eyeBillable
- H40.01Open angle with borderline findings, low riskHeader
Inclusion terms 1
Inclusion terms
- Open angle, low risk
- H40.011Open angle with borderline findings, low risk, right eyeBillable
- H40.012Open angle with borderline findings, low risk, left eyeBillable
- H40.013Open angle with borderline findings, low risk, bilateralBillable
- H40.019Open angle with borderline findings, low risk, unspecified eyeBillable
- H40.02Open angle with borderline findings, high riskHeader
Inclusion terms 1
Inclusion terms
- Open angle, high risk
- H40.021Open angle with borderline findings, high risk, right eyeBillable
- H40.022Open angle with borderline findings, high risk, left eyeBillable
- H40.023Open angle with borderline findings, high risk, bilateralBillable
- H40.029Open angle with borderline findings, high risk, unspecified eyeBillable
- H40.03Anatomical narrow angleHeader
Inclusion terms 1
Inclusion terms
- Primary angle closure suspect
- H40.031Anatomical narrow angle, right eyeBillable
- H40.032Anatomical narrow angle, left eyeBillable
- H40.033Anatomical narrow angle, bilateralBillable
- H40.039Anatomical narrow angle, unspecified eyeBillable
- H40.04Steroid responderHeader
- H40.041Steroid responder, right eyeBillable
- H40.042Steroid responder, left eyeBillable
- H40.043Steroid responder, bilateralBillable
- H40.049Steroid responder, unspecified eyeBillable
- H40.05Ocular hypertensionHeader
- H40.051Ocular hypertension, right eyeBillable
- H40.052Ocular hypertension, left eyeBillable
- H40.053Ocular hypertension, bilateralBillable
- H40.059Ocular hypertension, unspecified eyeBillable
- H40.06Primary angle closure without glaucoma damageHeader
- H40.061Primary angle closure without glaucoma damage, right eyeBillable
- H40.062Primary angle closure without glaucoma damage, left eyeBillable
- H40.063Primary angle closure without glaucoma damage, bilateralBillable
- H40.069Primary angle closure without glaucoma damage, unspecified eyeBillable
- H40.1Open-angle glaucomaHeader
- H40.10Unspecified open-angle glaucoma +7th: 0 1 2 3 4Needs 7th character
- H40.11Primary open-angle glaucomaHeader
Inclusion terms 1
Inclusion terms
- Chronic simple glaucoma
- H40.111Primary open-angle glaucoma, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.112Primary open-angle glaucoma, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.113Primary open-angle glaucoma, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.119Primary open-angle glaucoma, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.12Low-tension glaucomaHeader
- H40.121Low-tension glaucoma, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.122Low-tension glaucoma, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.123Low-tension glaucoma, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.129Low-tension glaucoma, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.13Pigmentary glaucomaHeader
- H40.131Pigmentary glaucoma, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.132Pigmentary glaucoma, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.133Pigmentary glaucoma, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.139Pigmentary glaucoma, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.14Capsular glaucoma with pseudoexfoliation of lensHeader
- H40.141Capsular glaucoma with pseudoexfoliation of lens, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.142Capsular glaucoma with pseudoexfoliation of lens, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.143Capsular glaucoma with pseudoexfoliation of lens, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.149Capsular glaucoma with pseudoexfoliation of lens, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.15Residual stage of open-angle glaucomaHeader
- H40.151Residual stage of open-angle glaucoma, right eyeBillable
- H40.152Residual stage of open-angle glaucoma, left eyeBillable
- H40.153Residual stage of open-angle glaucoma, bilateralBillable
- H40.159Residual stage of open-angle glaucoma, unspecified eyeBillable
- H40.2
- H40.20Unspecified primary angle-closure glaucoma +7th: 0 1 2 3 4Needs 7th character
- H40.21Acute angle-closure glaucomaHeader
Inclusion terms 2
Inclusion terms
- Acute angle-closure glaucoma attack
- Acute angle-closure glaucoma crisis
- H40.211Acute angle-closure glaucoma, right eyeBillableCC
- H40.212Acute angle-closure glaucoma, left eyeBillableCC
- H40.213Acute angle-closure glaucoma, bilateralBillableCC
- H40.219Acute angle-closure glaucoma, unspecified eyeBillableCC
- H40.22Chronic angle-closure glaucomaHeader
Inclusion terms 1
Inclusion terms
- Chronic primary angle closure glaucoma
- H40.221Chronic angle-closure glaucoma, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.222Chronic angle-closure glaucoma, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.223Chronic angle-closure glaucoma, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.229Chronic angle-closure glaucoma, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.23Intermittent angle-closure glaucomaHeader
- H40.231Intermittent angle-closure glaucoma, right eyeBillable
- H40.232Intermittent angle-closure glaucoma, left eyeBillable
- H40.233Intermittent angle-closure glaucoma, bilateralBillable
- H40.239Intermittent angle-closure glaucoma, unspecified eyeBillable
- H40.24Residual stage of angle-closure glaucomaHeader
- H40.241Residual stage of angle-closure glaucoma, right eyeBillable
- H40.242Residual stage of angle-closure glaucoma, left eyeBillable
- H40.243Residual stage of angle-closure glaucoma, bilateralBillable
- H40.249Residual stage of angle-closure glaucoma, unspecified eyeBillable
- H40.3Glaucoma secondary to eye traumaHeader
Code also 1
Code also
- underlying condition
- H40.30Glaucoma secondary to eye trauma, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.31Glaucoma secondary to eye trauma, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.32Glaucoma secondary to eye trauma, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.33Glaucoma secondary to eye trauma, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.4Glaucoma secondary to eye inflammationHeader
Code also 1
Code also
- underlying condition
- H40.40Glaucoma secondary to eye inflammation, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.41Glaucoma secondary to eye inflammation, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.42Glaucoma secondary to eye inflammation, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.43Glaucoma secondary to eye inflammation, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.5Glaucoma secondary to other eye disordersHeader
Code also 1
Code also
- underlying eye disorder
- H40.50Glaucoma secondary to other eye disorders, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.51Glaucoma secondary to other eye disorders, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.52Glaucoma secondary to other eye disorders, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.53Glaucoma secondary to other eye disorders, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.6
- H40.60Glaucoma secondary to drugs, unspecified eye +7th: 0 1 2 3 4Needs 7th character
- H40.61Glaucoma secondary to drugs, right eye +7th: 0 1 2 3 4Needs 7th character
- H40.62Glaucoma secondary to drugs, left eye +7th: 0 1 2 3 4Needs 7th character
- H40.63Glaucoma secondary to drugs, bilateral +7th: 0 1 2 3 4Needs 7th character
- H40.8Other glaucomaHeader
- H40.81Glaucoma with increased episcleral venous pressureHeader
- H40.811Glaucoma with increased episcleral venous pressure, right eyeBillable
- H40.812Glaucoma with increased episcleral venous pressure, left eyeBillable
- H40.813Glaucoma with increased episcleral venous pressure, bilateralBillable
- H40.819Glaucoma with increased episcleral venous pressure, unspecified eyeBillable
- H40.82Hypersecretion glaucomaHeader
- H40.821Hypersecretion glaucoma, right eyeBillable
- H40.822Hypersecretion glaucoma, left eyeBillable
- H40.823Hypersecretion glaucoma, bilateralBillable
- H40.829Hypersecretion glaucoma, unspecified eyeBillable
- H40.83Aqueous misdirectionHeader
Inclusion terms 1
Inclusion terms
- Malignant glaucoma
- H40.831Aqueous misdirection, right eyeBillable
- H40.832Aqueous misdirection, left eyeBillable
- H40.833Aqueous misdirection, bilateralBillable
- H40.839Aqueous misdirection, unspecified eyeBillable
- H40.84
- H40.841Neovascular secondary angle closure glaucoma, right eyeBillable
- H40.842Neovascular secondary angle closure glaucoma, left eyeBillable
- H40.843Neovascular secondary angle closure glaucoma, bilateralBillable
- H40.849Neovascular secondary angle closure glaucoma, unspecified eyeBillable
- H40.89Other specified glaucomaBillable
- H40.9Unspecified glaucomaBillable
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.
Instructions
At H40
Notes that also apply
Chapter 7 instructions (Notes 1, Excludes2 11): printed on the chapter 7 page.
7th characters
7th characters for H40.3 defined at H40.3
One of the following 7th characters is to be assigned to each code in subcategory H40.3 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.4 defined at H40.4
One of the following 7th characters is to be assigned to each code in subcategory H40.4 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.5 defined at H40.5
One of the following 7th characters is to be assigned to each code in subcategory H40.5 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.6 defined at H40.6
One of the following 7th characters is to be assigned to each code in subcategory H40.6 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.10 defined at H40.10
One of the following 7th characters is to be assigned to code H40.10 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.11 defined at H40.11
One of the following 7th characters is to be assigned to each code in subcategory H40.11 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.12 defined at H40.12
One of the following 7th characters is to be assigned to each code in subcategory H40.12 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.13 defined at H40.13
One of the following 7th characters is to be assigned to each code in subcategory H40.13 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.14 defined at H40.14
One of the following 7th characters is to be assigned to each code in subcategory H40.14 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.20 defined at H40.20
One of the following 7th characters is to be assigned to code H40.20 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
7th characters for H40.22 defined at H40.22
One of the following 7th characters is to be assigned to each code in subcategory H40.22 to designate the stage of glaucoma
| 7th | Meaning (NCHS) |
|---|---|
| 0 | stage unspecified |
| 1 | mild stage |
| 2 | moderate stage |
| 3 | severe stage |
| 4 | indeterminate stage |
A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.
Index entries
- Preglaucoma → H40.00-
- Anatomical narrow angle → H40.03-
- Aqueous misdirection → H40.83-
- Misdirection, aqueous → H40.83-
- Glaucoma → H40.9
- Glaucoma›borderline → H40.00-
- Glaucoma›suspect → H40.00-
- Narrow›anterior chamber angle → H40.03-
- Steroid›responder → H40.04-
- Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)›ocular → H40.05-
- Closure›primary angle, without glaucoma damage → H40.06-
- Glaucoma›open angle → H40.10-
- Glaucoma›simple (chronic) → H40.11-
- Glaucoma›simplex → H40.11-
- Glaucoma›angle-closure (primary) → H40.20-
- Plateau iris syndrome (post-iridectomy) (postprocedural) (without glaucoma)›with glaucoma → H40.22-
- Glaucoma›secondary (to) → H40.5-
- Glaucoma›hypersecretion → H40.82-
- Glaucoma›malignant → H40.83-
- Glaucoma›neovascular secondary angle closure → H40.84-
- Glaucoma›specified type NEC → H40.89
- Open, opening›angle with›cupping of discs → H40.01-
- Pressure›increased›intraocular → H40.05-
- Glaucoma›open angle›primary → H40.11-
- Glaucoma›angle-closure (primary)›acute (attack) (crisis) → H40.21-
- Glaucoma›angle-closure (primary)›chronic → H40.22-
- Glaucoma›angle-closure (primary)›intermittent → H40.23-
- Glaucoma›angle-closure (primary)›residual stage → H40.24-
- Glaucoma›secondary (to)›trauma → H40.3-
- Glaucoma›secondary (to)›inflammation → H40.4-
- Glaucoma›secondary (to)›drugs → H40.6-
- Glaucoma›with›increased episcleral venous pressure → H40.81-
- Glaucoma›angle-closure (primary)›secondary, neovascular → H40.84-
- Open, opening›angle with›borderline›intraocular pressure → H40.00-
- Glaucoma›open angle›primary›low-tension → H40.12-
- Glaucoma›open angle›primary›pigmentary → H40.13-
- Glaucoma›open angle›primary›capsular (with pseudoexfoliation of lens) → H40.14-
- Glaucoma›open angle›primary›residual stage → H40.15-
- Open, opening›angle with›borderline›findings›low risk → H40.01-
- Open, opening›angle with›borderline›findings›high risk → H40.02-
NCHS Alphabetic Index. Index first, then the Tabular List.