ICD-10 Code H18.442 – Keratomalacia, left eye (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Keratomalacia, left eye is H18.442.
2026 ICD-10-CM Diagnosis Code H18.442 – Keratomalacia, left eye

What it is

Keratomalacia means softening and breakdown of the cornea in the left eye. It is a serious corneal condition that can threaten vision if not documented and managed promptly.

Clinical signs

Findings may include corneal clouding, ulceration, thinning, or a soft, irregular corneal surface. Clinical features vary; refer to documentation.

When to use this code

Use H18.442 when the provider specifically documents keratomalacia affecting the left eye. This code supports laterality and should match the charted diagnosis, not a general corneal disorder. If the record only states corneal degeneration or ulcer without keratomalacia, check documentation.

Do not use for

Do not use this code for keratomalacia of the right eye, both eyes, or unspecified eye. Do not assign it for other corneal ulcers or opacity diagnoses unless keratomalacia is clearly documented.

Coding tip

Verify both the diagnosis term and laterality in the ophthalmology note before coding H18.442.

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