H00-H05

Non-Billable
ChapterH00–H59
Rankblock
Official Description

Disorders of eyelid, lacrimal system and orbit (H00-H05)

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 7: Diseases of the Eye and Adnexa (H00-H59).

CH7 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H00-H05Disorders of eyelid, lacrimal system and orbit (H00-H05)Not billable
H00Hordeolum and chalazionSubcodes
H01Other inflammation of eyelidSubcodes
H02Other disorders of eyelidSubcodes
H04Disorders of lacrimal systemSubcodes
H05Disorders of orbitSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to H00-H05:

chapterCH7
Diseases of the eye and adnexa (H00-H59)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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