H40.003

Preglaucoma, unspecified, bilateral

FY2027Chapter 7: Diseases of the eye and adnexa/H40–H42 Glaucoma

BillableComplete code, valid to report

H40.003 (also written H40003) is a billable ICD-10-CM diagnosis code for preglaucoma, unspecified, bilateral. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 252 codes in category H40 (Glaucoma). Its coding notes include 3 Excludes1 entries and 11 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Glaucoma needs the type, the affected eye and the stage. The 7th character 4 (indeterminate) is not the same as 0 (stage not documented).

Guidelines I.C.7.aGlaucoma: type, eye and stageRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from H40 Glaucoma
  • absolute glaucoma (H44.51-)
  • congenital glaucoma (Q15.0)
  • traumatic glaucoma due to birth injury (P15.3)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (11 notes)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition