2026 ICD-10-CM Diagnosis Code H57.13Ocular pain, bilateral

ICD-10-CM Codes›H00–H59›H55-H57›H57

ICD-10-CM H57.13
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H57.13 is a billable ICD-10-CM diagnosis code for ocular pain, 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. Coders also document this condition as bilateral periorbital pain of eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified eye disorders.

Code Identity

ICD-10-CM Code
H57.13
Billable Status
Yes — Valid for Submission
Code Describes
Ocular pain, bilateral
Short Description
Ocular pain, bilateral
Same as the full description in the CMS dataset.
Parent Code
H57.1
Ocular pain

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH55-H57Other disorders of eye and adnexa
CategoryH57Other disorders of eye and adnexa
This CodeH57.13Ocular pain, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral periorbital pain of eyes
  • Pain around eye
  • Pain of bilateral eyes
  • Pain of left eye
  • Pain of right eye
  • Periorbital pain of left eye
  • Periorbital pain of right eye

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

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 H57.13 to ICD-9-CMHistory

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

ICD-9-CM
379.91 Pain in or around eye
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 H57.13Overview

Is H57.13 (Ocular pain) a billable code?

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

What MS-DRG does H57.13 group to?

When ocular pain, 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 H57.13?

Under the General Equivalence Mappings, ocular pain, bilateral converts to ICD-9-CM 379.91 (pain in or around eye). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.