H15.823 Localized anterior staphyloma, bilateral

ICD-10-CM Code H15.823: Localized anterior staphyloma, bilateral

ICD-10-CM code H15.823 represents localized anterior staphyloma, bilateral. Official semantic and billing references list this diagnosis alongside distinct codes for the right eye (H15.821) and left eye (H15.822). Medicare and vision policy documents include H15.823 within external ocular photography billing guidance, establishing its administrative use in service documentation. 2 3 4

Plain-language overview

Code H15.823 identifies a diagnosis of localized anterior staphyloma affecting both eyes. This code distinguishes the bilateral condition from unilateral diagnoses specifying the right eye or left eye. 2

What this code represents

The official display label for H15.823 is localized anterior staphyloma, bilateral. The code exists within a semantic reference that lists H15.821 for the right eye and H15.822 for the left eye. 2

A phecode mapping reference includes localized anterior staphyloma, unspecified eye within its listed terms. This listing differs from the bilateral specificity designated by H15.823. 1 2

Coding details

Medicare billing documentation for external ocular photography groups codes H15.821 through H15.823 together. This grouping spans localized anterior staphyloma of the right eye, left eye, and bilateral conditions. 3

Documentation considerations

Vision policy documentation for external ocular photography lists H15.823 as a diagnosis. This inclusion in an administrative policy document establishes the code's utilization in billing contexts for this specific service. 4

What the sources add

The EVS Explore semantic reference and the Medicare billing article both list H15.823 with the identical description of localized anterior staphyloma, bilateral. These two sources provide official terminology alongside administrative grouping for ocular photography. 2 3

The Medicare article and the vision policy document both associate H15.823 with external ocular photography. This overlap demonstrates the code's appearance across distinct payer and provider administrative guidelines. 3 4

Coverage and utilization context

The inclusion of H15.823 in Medicare and vision policy articles establishes its use in external ocular photography billing documentation. These sources do not confirm that this diagnosis code automatically guarantees payer coverage for the service. 3 4

Sources

1. Phecode 379 · Cancer PRSweb — csg.sph.umich.edu; accessed 2026-07-25.
2. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-25.
3. Article - Billing and Coding: Ocular Photography - External (A57068) — cms.gov; accessed 2026-07-25.
4. Medicare Advantage Plans — wellcarecomplete.com; accessed 2026-07-25.