2026 ICD-10-CM Diagnosis Code H43.12Vitreous hemorrhage, left eye

ICD-10-CM Codes›H00–H59›H43-H44›H43

ICD-10-CM H43.12
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H43.12 is a billable ICD-10-CM diagnosis code for vitreous hemorrhage, left eye. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as ghost cell glaucoma. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Retinal and vitreous conditions.

Code Identity

ICD-10-CM Code
H43.12
Billable Status
Yes — Valid for Submission
Code Describes
Vitreous hemorrhage, left eye
Short Description
Vitreous hemorrhage, left eye
Same as the full description in the CMS dataset.
Parent Code
H43.1
Vitreous hemorrhage

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH43-H44Disorders of vitreous body and globe
CategoryH43Disorders of vitreous body
This CodeH43.12Vitreous hemorrhage, left eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Ghost cell glaucoma
  • Ghost cell glaucoma of left eye
  • Ghost cell ocular hypertension
  • Ghost cell ocular hypertension of left eye
  • Hemorrhage of left vitreous body
  • Vitreous hemorrhage due to diabetes mellitus
  • Vitreous hemorrhage of left eye due to diabetes mellitus

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE005
Retinal and vitreous conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Vitreous Hemorrhage

    hemorrhage into the vitreous body.

  • Vitreous Body

    the transparent, semigelatinous substance that fills the cavity behind the crystalline lens of the eye and in front of the retina. it is contained in a thin hyaloid membrane and forms about four fifths of the optic globe.

Patient EducationClinical

Eye Diseases

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Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H43.12 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
379.23 Vitreous hemorrhage
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H43.12Overview

Is H43.12 (Vitreous hemorrhage) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report vitreous hemorrhage, left eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H43.12 group to?

When vitreous hemorrhage, left eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H43.12?

Under the General Equivalence Mappings, vitreous hemorrhage, left eye converts to ICD-9-CM 379.23 (vitreous hemorrhage). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.