ICDcodes.org
FY2027

H40.61X4Glaucoma secondary to drugs, right eye, indeterminate stage

Billable

Is H40.61X4 billable?

Yes — H40.61X4 is billable for FY2027. H40.61X4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H40.61X4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H40.61X4 at a glance

CodeH40.61X4
DescriptionGlaucoma secondary to drugs, right eye, indeterminate stage
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "4"indeterminate stage

What does the 7th character "4" mean in H40.61X4?

In H40.61X4, the 7th character 4 means indeterminate stage. The 7th character is required for H40.61X4 to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does H40.61X4 group to?

H40.61X4 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 H40.61X4 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under H40.6, the nearest indexed parent of H40.61X4. Use them to find the family, then select the specific code.

  • Glaucomasecondarydrugs

Excludes1 — never code together — inherited from H40

The conditions below can never be reported together with H40.61X4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • absolute glaucoma (H44.51-)
  • congenital glaucoma (Q15.0)
  • traumatic glaucoma due to birth injury (P15.3)

Use additional code — inherited from H40.6

Report an additional code alongside H40.61X4 to fully describe the condition. H40.61X4 is sequenced first.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes2 — not included here — inherited from Chapter 7

The conditions below are not part of H40.61X4, but a patient may have both at the same time. When documentation supports it, H40.61X4 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 H40.61X4 existed?

H40.61X4 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.