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    v1.0.28
    OpenPayerBilling CodesDisorders of sclera, cornea, iris and ciliary bodyICD-10-CM h16-keratitis-corneal-disorders
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    ICD-10-CM Code For Keratitis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H16 includes infectious, noninfectious, ulcerative, and unspecified forms of keratitis affecting the cornea, such as bacterial, viral, fungal, parasitic, and immune-mediated etiologies. These ICD-10-CM diagnosis codes are used to document clinical scenarios that capture disease severity, laterality, etiology, and complications like corneal ulceration or scarring. Accurate coding within the ICD-10-CM H16 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM H16: Keratitis Overview

    The ICD-10-CM H16 group represents infections and inflammatory conditions of the cornea, collectively known as keratitis, affecting the outermost clear layer of the eye. These diagnoses target corneal structure and function and can impact vision if not properly treated. Accurate coding matters for reimbursement because it documents clinical severity, laterality, and causation which affect claim processing and medical necessity determinations.

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    When to Use

    Use a code from this group when the clinical record documents keratitis, corneal ulceration, or corneal inflammation with specification of etiology, laterality, or chronic versus acute status. Select the most specific code available that reflects confirmed diagnosis details such as organism, infectious versus noninfectious cause, and whether the cornea is ulcerated.

    ICD-10-CM Codes

    126 rows

    ICD-10-CM CodeDescription
    H16.001Unspecified corneal ulcer, right eye
    H16.002Unspecified corneal ulcer, left eye
    H16.003Unspecified corneal ulcer, bilateral
    H16.009Unspecified corneal ulcer, unspecified eye
    H16.011Central corneal ulcer, right eye
    H16.012Central corneal ulcer, left eye
    H16.013Central corneal ulcer, bilateral
    H16.019Central corneal ulcer, unspecified eye
    H16.021Ring corneal ulcer, right eye
    H16.022Ring corneal ulcer, left eye
    H16.023Ring corneal ulcer, bilateral
    H16.029Ring corneal ulcer, unspecified eye
    H16.031Corneal ulcer with hypopyon, right eye
    H16.032Corneal ulcer with hypopyon, left eye
    H16.033Corneal ulcer with hypopyon, bilateral
    H16.039Corneal ulcer with hypopyon, unspecified eye
    H16.041Marginal corneal ulcer, right eye
    H16.042Marginal corneal ulcer, left eye
    H16.043Marginal corneal ulcer, bilateral
    H16.049Marginal corneal ulcer, unspecified eye

    Showing 1–20 of 126

    DRG Codes

    4 rows

    DRG CodeDescription
    121Acute Major Eye Infections with CC/MCC
    122Acute Major Eye Infections without CC/MCC
    124Other Disorders of the Eye with MCC or Thrombolytic Agent
    125Other Disorders of the Eye without MCC

    Typical Clinical Scenarios

    • A 28-year-old contact lens wearer presents to urgent care with sudden onset severe unilateral eye pain, redness, photophobia, and decreased vision after sleeping with lenses in. Slit-lamp exam shows a central corneal epithelial defect with stromal infiltration and purulent discharge suggestive of an acute infectious keratitis requiring immediate topical antimicrobial therapy; an ICD-10-CM keratitis code is assigned to capture the acute infectious corneal inflammation. Typical codes: H16.011, H16.021
    • A 65-year-old patient with chronic dry eye and a history of recurrent epithelial erosions follows with persistent superficial punctate keratitis and corneal scarring causing fluctuating vision over months despite lubrication and punctal occlusion. Because this is a chronic, noninfectious corneal inflammatory process managed longitudinally, a keratitis code representing chronic or recurrent superficial keratitis is used to document the ongoing corneal disorder. Typical codes: H16.201, H16.241
    • A 52-year-old diabetic presents after ocular surgery with delayed healing and a sterile peripheral ulcerative keratitis complicated by progressive thinning at the graft margin and risk of perforation; care coordination includes intensified topical therapy and surgical consultation. A keratitis code reflecting peripheral or ulcerative keratitis and postoperative complication of the cornea is assigned to capture the corneal inflammation as a complication and comorbidity in the postoperative setting. Typical codes: H16.341, H16.329

    Related Codes

    H15-DISORDERS-OF-SCLERA

    ICD-10-CM Code For Disorders Of Sclera: 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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