H16.243
Billable

Ophthalmia nodosa, bilateral

Billable / Specific Code

What is Ophthalmia nodosa, bilateral?

ICD-10-CM H16.243 is the diagnosis code for Ophthalmia nodosa, bilateral. This code falls under the section "Disorders of sclera, cornea, iris and ciliary body" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for H16.243

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where H16.243 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is H16.243 a billable ICD-10-CM code?

Yes, H16.243 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does H16.243 mean?

H16.243 is the ICD-10-CM diagnosis code for "Ophthalmia nodosa, bilateral". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H16.243?

The parent code of H16.243 is H16.24 ("Ophthalmia nodosa"). H16.243 provides a more specific classification within this category.

What section is H16.243 in?

H16.243 is located in Section H15-H22 — "Disorders of sclera, cornea, iris and ciliary body" within Chapter 7 of the ICD-10-CM Tabular List.

When should I use H16.243?

Use H16.243 when the patients documented diagnosis matches "Ophthalmia nodosa, bilateral" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Ophthalmia nodosa, bilateral?

The ICD-10-CM code for Ophthalmia nodosa, bilateral is H16.243.

Can H16.243 be used for primary diagnosis?

Yes, H16.243 can be used as a primary diagnosis code since it is billable and specific.

What chapter is H16.243 in?

H16.243 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H16.243 valid for 2026?

Yes, H16.243 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH16.242Ophthalmia nodosa, left eyeNext →H16.249Ophthalmia nodosa, unspecified eye
Code Details
H16.243
Ophthalmia nodosa, bilateral
Billable / Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H15-H22 — Disorders of sclera, cornea, iris and ciliary body
2026 ICD-10-CM