ICD-10 Code H18.042 – Kayser-Fleischer ring, left eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Kayser-Fleischer ring, left eye is H18.042.
2026 ICD-10-CM Diagnosis Code H18.042 – Kayser-Fleischer ring, left eye

What it is

This code identifies a Kayser-Fleischer ring in the left eye, a copper-colored corneal ring seen on eye exam. It reflects a documented ocular finding, not a standalone systemic diagnosis.

Clinical signs

You may see a golden-brown to greenish ring at the corneal margin, best noted on slit-lamp exam. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents a Kayser-Fleischer ring specifically in the left eye. It is appropriate for ophthalmology notes, consults, or problem lists that clearly identify laterality. If both eyes are documented, code each eye separately.

Do not use for

Do not use it for nonspecific corneal discoloration or when the eye laterality is not stated. Check documentation if the record only mentions suspected Wilson disease without confirming the ring.

Coding tip

Verify laterality in the exam note before assigning H18.042.

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