2026 ICD-10-CM Diagnosis Code H44.2B3Degenerative myopia with macular hole, bilateral

ICD-10-CM Codes›H00–H59›H43-H44›H44

ICD-10-CM H44.2B3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H44.2B3 is a billable ICD-10-CM diagnosis code for degenerative myopia with macular hole, bilateral. 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified eye disorders.

Code Identity

ICD-10-CM Code
H44.2B3
Billable Status
Yes — Valid for Submission
Code Describes
Degenerative myopia with macular hole, bilateral
Short Description
Degenerative myopia with macular hole, bilateral
Same as the full description in the CMS dataset.
Parent Code
H44.2B
Degenerative myopia with macular hole

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH43-H44Disorders of vitreous body and globe
CategoryH44Disorders of globe
This CodeH44.2B3Degenerative myopia with macular hole, bilateral

Clinical ClassificationClinical

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

CCSR EYE012
Other specified eye disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Refractive Errors

The cornea and lens of your eye helps you focus. Refractive errors are vision problems that happen when the shape of the eye keeps you from focusing well. The cause could be the length of the eyeball (longer or shorter), changes in the shape of the cornea, or aging of the lens.

Read the full article at MedlinePlus

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

Convert H44.2B3 to ICD-9-CMHistory

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

ICD-9-CM
360.21 Progressive high myopia
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
362.54 Macular cyst or hole
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code History & ChangesHistory

Replacement H44.2B3 replaces the following previously assigned code(s):

  • H35.30 - Unspecified macular degeneration
  • H44.20 - Degenerative myopia, unspecified eye
  • H44.21 - Degenerative myopia, right eye
  • H44.22 - Degenerative myopia, left eye
  • H44.23 - Degenerative myopia, bilateral
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2024No changes
FY 2025RevisedCode revised
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H44.2B3Overview

Is H44.2B3 (Degenerative myopia with macular hole) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report degenerative myopia with macular hole, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H44.2B3 group to?

When degenerative myopia with macular hole, bilateral 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 H44.2B3?

Under the General Equivalence Mappings, degenerative myopia with macular hole, bilateral converts to ICD-9-CM 360.21 (progressive high myopia) and 362.54 (macular cyst or hole). 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.