ICD-10 Code H44.533 – Leucocoria, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H44.533 – Leucocoria, bilateral
What it is
Leucocoria means a white pupillary reflex seen in both eyes. You use this code when documentation specifically identifies bilateral leucocoria, not a broader underlying eye disorder.
Clinical signs
Typical documentation notes an abnormal white reflection from the pupils on exam or in photographs. Clinical features vary; refer to documentation, and confirm whether the finding is bilateral.
When to use this code
Use H44.533 when the provider records leucocoria affecting both eyes as the diagnosis. It may appear in ophthalmology, pediatric, or referral notes when the finding is the reason for evaluation or is listed as an active problem.
If the chart identifies an underlying cause, such as a specific ocular disease, code that condition instead or first, as directed by the record.
Do not use for
Do not use this code for unilateral leucocoria or for a nonspecific abnormal eye finding. Check documentation if the white reflex is explained by another diagnosed disorder.
Coding tip
Verify laterality carefully; H44.533 is only for bilateral documentation.