ICD-10 Code H18.063 – Stromal corneal pigmentations, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Stromal corneal pigmentations, bilateral is H18.063.
2026 ICD-10-CM Diagnosis Code H18.063 – Stromal corneal pigmentations, bilateral

What it is

H18.063 identifies pigment deposits within the corneal stroma in both eyes. Use it when documentation specifically describes bilateral stromal corneal pigmentation rather than a superficial corneal stain or a different corneal disorder.

Clinical signs

Findings may include visible corneal discoloration on slit-lamp exam and bilateral stromal pigment accumulation. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents stromal corneal pigmentations affecting both corneas. It is appropriate for ophthalmology notes, consults, or problem lists that clearly name the bilateral stromal location. If laterality is not documented, check documentation before coding.

Do not use for

Do not use H18.063 for corneal pigmentation limited to one eye or for pigment on the surface layer only. Do not assume the code applies to other corneal opacities or deposits; check documentation.

Coding tip

Confirm both the stromal location and bilateral laterality in the record before assigning H18.063.

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