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H18.543

Billable

Lattice corneal dystrophy, bilateral

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Lattice corneal dystrophy is a genetic eye condition where abnormal protein deposits form a lattice-like pattern in the cornea (the clear front part of the eye), affecting both eyes. This can cause vision problems, corneal clouding, and recurrent eye irritation.

Coding Tips

  • Verify that the condition is documented as bilateral (affecting both eyes) before assigning code H18.543; if only one eye is affected, use H18.541 (right eye) or H18.542 (left eye) instead
  • This is a hereditary dystrophy, so consider documenting the family history and whether genetic counseling was provided, as this may support medical necessity for ophthalmology referrals or specialized treatments

Code Hierarchy

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