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    v1.0.28
    OpenPayerBilling CodesDisorders of sclera, cornea, iris and ciliary bodyICD-10-CM h15-disorders-of-sclera
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    ICD-10-CM Code For Disorders Of Sclera: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H15 includes inflammatory, degenerative, and structural disorders of the sclera such as scleritis and episcleritis, and related scleral conditions. These ICD-10-CM diagnosis codes are used to document clinical presentations involving the sclera, capturing disease severity, laterality, and any extension to adjacent ocular structures. Accurate coding within the ICD-10-CM H15 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM H15: Disorders Of Sclera Overview

    This group includes inflammatory, degenerative, and structural disorders primarily affecting the sclera, the white outer layer of the eye. These conditions involve ocular structures and can impact vision, comfort, and ocular integrity. Accurate coding matters for appropriate clinical documentation and reimbursement because it captures disease severity and specific anatomic involvement.

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    When to Use

    Use a code from this group when the primary diagnosis is a disorder of the sclera documented by an eye care provider, including cases of isolated scleritis or episcleritis. Select the code that reflects the documented clinical details such as laterality, acute versus chronic nature, and any extension to cornea or uvea.

    ICD-10-CM Codes

    62 rows

    ICD-10-CM CodeDescription
    H15.001Unspecified scleritis, right eye
    H15.002Unspecified scleritis, left eye
    H15.003Unspecified scleritis, bilateral
    H15.009Unspecified scleritis, unspecified eye
    H15.011Anterior scleritis, right eye
    H15.012Anterior scleritis, left eye
    H15.013Anterior scleritis, bilateral
    H15.019Anterior scleritis, unspecified eye
    H15.021Brawny scleritis, right eye
    H15.022Brawny scleritis, left eye
    H15.023Brawny scleritis, bilateral
    H15.029Brawny scleritis, unspecified eye
    H15.031Posterior scleritis, right eye
    H15.032Posterior scleritis, left eye
    H15.033Posterior scleritis, bilateral
    H15.039Posterior scleritis, unspecified eye
    H15.041Scleritis with corneal involvement, right eye
    H15.042Scleritis with corneal involvement, left eye
    H15.043Scleritis with corneal involvement, bilateral
    H15.049Scleritis with corneal involvement, unspecified eye

    Showing 1–20 of 62

    DRG Codes

    2 rows

    DRG CodeDescription
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • A middle-aged patient presents to the emergency department after acute onset of severe eye pain, redness, and a visible raised, nodular focal inflammation of the sclera following recent ocular surgery. Examination shows a tender, localized area of scleral necrosis with marked conjunctival injection; urgent ophthalmology evaluation assigns a specific code for nodular or necrotizing postoperative scleral inflammation because the presentation is acute and linked to a recent procedure. Typical codes: H15.031, H15.032
    • An older adult with rheumatoid arthritis attends a scheduled rheumatology/ophthalmology clinic visit for chronic, recurrent deep scleral inflammation causing persistent ocular pain, bluish scleral discoloration, and progressive thinning documented over months. Because the scleral disease is chronic and associated with systemic autoimmune disease, a chronic anterior scleritis code from the group is used to capture ongoing inflammatory activity and follow-up care. Typical codes: H15.011, H15.012
    • A patient in postoperative follow-up after pterygium excision is seen for a noninfectious diffuse scleral inflammation and thinning at the surgical site that developed as a complication of previous ocular surface surgery; the visit documents scleral breakdown without active corneal ulceration. The clinician assigns a code for postoperative or postprocedural diffuse scleral disorder to indicate a complication/comorbidity related to prior ocular surgery. Typical codes: H15.041, H15.042

    Related Codes

    H16-KERATITIS-CORNEAL-DISORDERS

    ICD-10-CM Code For Keratitis: Group Overview

    H17-CORNEAL-SCARS-AND-OPACITIES

    ICD-10-CM Code For Corneal Scars And Opacities: Group Overview

    H18-OTHER-DISORDERS-OF-CORNEA

    ICD-10-CM Code For Other Disorders Of Cornea: Group Overview

    H20-IRIDOCYCLITIS

    ICD-10-CM Code For Iridocyclitis: Group Overview

    H21-OTHER-DISORDERS-OF-IRIS

    ICD-10-CM Code For Other Disorders Of Iris And Ciliary Body: Group Overview

    H22-DISORDERS-OF-IRIS-AND-CILIARY-BODY

    ICD-10-CM Code For Disorders Of Iris And Ciliary Body In Diseases Classified Elsewhere: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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