ICD-10 Code H18.553 – Macular corneal dystrophy, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Macular corneal dystrophy, bilateral is H18.553.
2026 ICD-10-CM Diagnosis Code H18.553 – Macular corneal dystrophy, bilateral

What it is

Macular corneal dystrophy, bilateral is a hereditary corneal disorder that affects both eyes. It causes progressive clouding of the cornea from abnormal material buildup.

Clinical signs

Typical findings include bilateral corneal opacity, reduced visual acuity, and scattered stromal haze or spots. Clinical features vary; refer to documentation.

When to use this code

Use this code when the provider documents macular corneal dystrophy affecting both eyes. It is appropriate for confirmed bilateral disease in ophthalmology notes, problem lists, or assessment statements. If the record does not specify laterality, check documentation.

Do not use for

Do not use this code for unilateral macular corneal dystrophy or for nonspecific corneal opacity without a documented dystrophy diagnosis. Do not assume laterality from symptoms alone.

Coding tip

Verify that the documentation explicitly states bilateral involvement before assigning H18.553.

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