H16.223 — Keratoconjunctivitis sicca, not specified as Sjogren's, bilateral
Is H16.223 billable?
Yes — H16.223 is billable for FY2027. H16.223 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H16.223 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H16.223 at a glance
| Code | H16.223 |
|---|---|
| Description | Keratoconjunctivitis sicca, not specified as Sjogren's, bilateral |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H16.223 group to?
H16.223 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 H16.223 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H16.22, the nearest indexed parent of H16.223. Use them to find the family, then select the specific code.
- Keratoconjunctivitis › sicca › not Sjögren's
Excludes1 — never code together — inherited from H16.22
The conditions below can never be reported together with H16.223 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- Sjögren's syndrome (M35.01)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H16.223, but a patient may have both at the same time. When documentation supports it, H16.223 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)
How long has H16.223 existed?
H16.223 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.