H00.031 — Abscess of right upper eyelid
Is H00.031 billable?
Yes — H00.031 is billable for FY2027. H00.031 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H00.031 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H00.031 at a glance
| Code | H00.031 |
|---|---|
| Description | Abscess of right upper eyelid |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H00.031 group to?
H00.031 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
- 125Other Disorders of the Eye without MCCmedical
How is H00.031 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H00.03, the nearest indexed parent of H00.031. Use them to find the family, then select the specific code.
- Abscess › eyelid (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H00.031, but a patient may have both at the same time. When documentation supports it, H00.031 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Excludes2 — not included here — inherited from H00-H05
The conditions below are not part of H00.031, but a patient may have both at the same time. When documentation supports it, H00.031 and the excluded code may both be reported.
How long has H00.031 existed?
H00.031 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.