CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

H04.89 Quick jump to specific ICD-10 (CM) Code: H05.00


See Category: Diseases of the eye and adnexa

ICD-10 (CM) Code and Descriptor

H04.9 Disorder of lacrimal system, unspecified

H049 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 10
ICD10
Position 11
27.27% 19.14% 11.00% 9.09% 8.61% 5.26% 3.35% 4.31% 1.91% 2.39%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for H04.9*:

CPT
Description Number of Claims Sum Performed
G0463
HOSPITAL OUTPT CLINIC VISIT 13 13
99213
OFFICE O/P EST LOW 20 MIN 10 10
99283
EMERGENCY DEPT VISIT LOW MDM 6 6
G0467
FQHC VISIT, ESTAB PT 5 5
G2025
DIS SITE TELE SVCS RHC/FQHC 4 4
88184
FLOWCYTOMETRY/ TC 1 MARKER 4 4
88185
FLOWCYTOMETRY/TC ADD-ON 4 49
99214
OFFICE O/P EST MOD 30 MIN 3 3
70543
MRI ORBT/FAC/NCK W/O &W/DYE 3 3
99308
SBSQ NF CARE LOW MDM 20 3 3
A9585
GADOBUTROL INJECTION 3 140
70480
CT ORBIT/EAR/FOSSA W/O DYE 3 3
92012
INTRM OPH EXAM EST PATIENT 3 3
99282
EMERGENCY DEPT VISIT SF MDM 3 3
A9270
NON-COVERED ITEM OR SERVICE 2 3
87040
BLOOD CULTURE FOR BACTERIA 2 2
82565
ASSAY OF CREATININE 2 2
80053
COMPREHEN METABOLIC PANEL 1 1
83605
ASSAY OF LACTIC ACID 1 1
99281
EMR DPT VST MAYX REQ PHY/QHP 1 1

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



H04.9 related to the following DRG Codes:

124-125






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.