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CMS Transmittals




ICD-10 Code or Description Search:

H16.041 Quick jump to specific ICD-10 (CM) Code: H16.043


See Category: Diseases of the eye and adnexa

See Header: Marginal corneal ulcer

ICD-10 (CM) Code and Descriptor

H16.042 Marginal corneal ulcer, left eye

H16042 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 9
ICD10
Position 10
70.54% 13.76% 7.74% 1.94% 2.15% 0.65% 0.86% 0.22% 0.22% 0.43%

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

Commonly Associated Procedure Codes for H16.042*:

CPT
Description Number of Claims Sum Performed
G0463
HOSPITAL OUTPT CLINIC VISIT 200 200
87070
CULTURE OTHR SPECIMN AEROBIC 76 77
87102
FUNGUS ISOLATION CULTURE 49 49
87205
SMEAR GRAM STAIN 47 50
92012
INTRM OPH EXAM EST PATIENT 33 33
87186
MICROBE SUSCEPTIBLE MIC 28 29
87077
CULTURE AEROBIC IDENTIFY 27 31
99213
OFFICE O/P EST LOW 20 MIN 20 20
87075
CULTR BACTERIA EXCEPT BLOOD 20 21
G0467
FQHC VISIT, ESTAB PT 20 20
99212
OFFICE O/P EST SF 10 MIN 12 12
65430
CORNEAL SMEAR 11 11
36415
COLL VENOUS BLD VENIPUNCTURE 11 11
87529
HSV DNA AMP PROBE 8 9
92285
EXTERNAL OCULAR PHOTOGRAPHY 7 7
87206
SMEAR FLUORESCENT/ACID STAI 7 7
85025
COMPLETE CBC W/AUTO DIFF WBC 6 6
82164
ANGIOTENSIN I ENZYME TEST 6 6
99283
EMERGENCY DEPT VISIT LOW MDM 6 6
86140
C-REACTIVE PROTEIN 6 6

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



H16.042 related to the following DRG Codes:

124-125






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