ICD-10-CM

Non-billable

H59

Classification

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Coding Guidance

H59 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail.

Excludes 1

T85.2

mechanical complication of intraocular lens

T85.3

mechanical complication of other ocular prosthetic devices, implants and grafts

Z96.1

pseudophakia

H26.4

secondary cataracts

Excludes 2

P04-P96

certain conditions originating in the perinatal period

A00-B99

certain infectious and parasitic diseases

O00-O9A

complications of pregnancy, childbirth and the puerperium

Q00-Q99

congenital malformations, deformations, and chromosomal abnormalities

E09.3 E10.3 E11.3 E13.3

diabetes mellitus related eye conditions

E00-E88

endocrine, nutritional and metabolic diseases

S05

injury (trauma) of eye and orbit

S00-T88

injury, poisoning and certain other consequences of external causes

C00-D49

neoplasms

R00-R94

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

A50.01 A50.3 A51.43 A52.71

syphilis related eye disorders

Use Additional Code

From H00-H59

Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

More Specific Codes

H59.0

Disorders of the eye following cataract surgery

H59.1

Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure

H59.2

Accidental puncture and laceration of eye and adnexa during a procedure

H59.3

Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure

H59.4

Inflammation (infection) of postprocedural bleb

H59.8

Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified

External Resources

2025 ICD-10 guidelines from CMS.gov