Disorders of orbit
In Disorders of eyelid, lacrimal system and orbit (H00-H05), chapter 7: Diseases of the Eye and Adnexa
102 billable codes under H05: 12 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Excludes1: not coded here, use a different code
- congenital malformation of orbit (Q10.7)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H05
H05 can't be used on a claim. Pick a billable code below; grey headings group them.
- H05.0Acute inflammation of orbit
- H05.00Unspecified acute inflammation of orbit
- H05.01Cellulitis of orbit
- H05.011Cellulitis of right orbit
- H05.012Cellulitis of left orbit
- H05.013Cellulitis of bilateral orbits
- H05.019Cellulitis of unspecified orbit
- H05.02Osteomyelitis of orbit
- H05.021Osteomyelitis of right orbit
- H05.022Osteomyelitis of left orbit
- H05.023Osteomyelitis of bilateral orbits
- H05.029Osteomyelitis of unspecified orbit
- H05.03Periostitis of orbit
- H05.031Periostitis of right orbit
- H05.032Periostitis of left orbit
- H05.033Periostitis of bilateral orbits
- H05.039Periostitis of unspecified orbit
- H05.04Tenonitis of orbit
- H05.041Tenonitis of right orbit
- H05.042Tenonitis of left orbit
- H05.043Tenonitis of bilateral orbits
- H05.049Tenonitis of unspecified orbit
- H05.1Chronic inflammatory disorders of orbit
- H05.10Unspecified chronic inflammatory disorders of orbit
- H05.11Granuloma of orbit
- H05.111Granuloma of right orbit
- H05.112Granuloma of left orbit
- H05.113Granuloma of bilateral orbits
- H05.119Granuloma of unspecified orbit
- H05.12Orbital myositis
- H05.121Orbital myositis, right orbit
- H05.122Orbital myositis, left orbit
- H05.123Orbital myositis, bilateral
- H05.129Orbital myositis, unspecified orbit
- H05.2Exophthalmic conditions
- H05.20Unspecified exophthalmos
- H05.21Displacement (lateral) of globe
- H05.211Displacement (lateral) of globe, right eye
- H05.212Displacement (lateral) of globe, left eye
- H05.213Displacement (lateral) of globe, bilateral
- H05.219Displacement (lateral) of globe, unspecified eye
- H05.22Edema of orbit
- H05.221Edema of right orbit
- H05.222Edema of left orbit
- H05.223Edema of bilateral orbit
- H05.229Edema of unspecified orbit
- H05.23Hemorrhage of orbit
- H05.231Hemorrhage of right orbit
- H05.232Hemorrhage of left orbit
- H05.233Hemorrhage of bilateral orbit
- H05.239Hemorrhage of unspecified orbit
- H05.24Constant exophthalmos
- H05.241Constant exophthalmos, right eye
- H05.242Constant exophthalmos, left eye
- H05.243Constant exophthalmos, bilateral
- H05.249Constant exophthalmos, unspecified eye
- H05.25Intermittent exophthalmos
- H05.251Intermittent exophthalmos, right eye
- H05.252Intermittent exophthalmos, left eye
- H05.253Intermittent exophthalmos, bilateral
- H05.259Intermittent exophthalmos, unspecified eye
- H05.26Pulsating exophthalmos
- H05.261Pulsating exophthalmos, right eye
- H05.262Pulsating exophthalmos, left eye
- H05.263Pulsating exophthalmos, bilateral
- H05.269Pulsating exophthalmos, unspecified eye
- H05.3Deformity of orbit
- H05.30Unspecified deformity of orbit
- H05.31Atrophy of orbit
- H05.311Atrophy of right orbit
- H05.312Atrophy of left orbit
- H05.313Atrophy of bilateral orbit
- H05.319Atrophy of unspecified orbit
- H05.32Deformity of orbit due to bone disease
- H05.321Deformity of right orbit due to bone disease
- H05.322Deformity of left orbit due to bone disease
- H05.323Deformity of bilateral orbits due to bone disease
- H05.329Deformity of unspecified orbit due to bone disease
- H05.33Deformity of orbit due to trauma or surgery
- H05.331Deformity of right orbit due to trauma or surgery
- H05.332Deformity of left orbit due to trauma or surgery
- H05.333Deformity of bilateral orbits due to trauma or surgery
- H05.339Deformity of unspecified orbit due to trauma or surgery
- H05.34Enlargement of orbit
- H05.341Enlargement of right orbit
- H05.342Enlargement of left orbit
- H05.343Enlargement of bilateral orbits
- H05.349Enlargement of unspecified orbit
- H05.35Exostosis of orbit
- H05.351Exostosis of right orbit
- H05.352Exostosis of left orbit
- H05.353Exostosis of bilateral orbits
- H05.359Exostosis of unspecified orbit
- H05.4Enophthalmos
- H05.40Unspecified enophthalmos
- H05.401Unspecified enophthalmos, right eye
- H05.402Unspecified enophthalmos, left eye
- H05.403Unspecified enophthalmos, bilateral
- H05.409Unspecified enophthalmos, unspecified eye
- H05.41Enophthalmos due to atrophy of orbital tissue
- H05.411Enophthalmos due to atrophy of orbital tissue, right eye
- H05.412Enophthalmos due to atrophy of orbital tissue, left eye
- H05.413Enophthalmos due to atrophy of orbital tissue, bilateral
- H05.419Enophthalmos due to atrophy of orbital tissue, unspecified eye
- H05.42Enophthalmos due to trauma or surgery
- H05.421Enophthalmos due to trauma or surgery, right eye
- H05.422Enophthalmos due to trauma or surgery, left eye
- H05.423Enophthalmos due to trauma or surgery, bilateral
- H05.429Enophthalmos due to trauma or surgery, unspecified eye
- H05.5Retained (old) foreign body following penetrating wound of orbit
- H05.50Retained (old) foreign body following penetrating wound of unspecified orbit
- H05.51Retained (old) foreign body following penetrating wound of right orbit
- H05.52Retained (old) foreign body following penetrating wound of left orbit
- H05.53Retained (old) foreign body following penetrating wound of bilateral orbits
- H05.8Other disorders of orbit
- H05.81Cyst of orbit
- H05.811Cyst of right orbit
- H05.812Cyst of left orbit
- H05.813Cyst of bilateral orbits
- H05.819Cyst of unspecified orbit
- H05.82Myopathy of extraocular muscles
- H05.821Myopathy of extraocular muscles, right orbit
- H05.822Myopathy of extraocular muscles, left orbit
- H05.823Myopathy of extraocular muscles, bilateral
- H05.829Myopathy of extraocular muscles, unspecified orbit
- H05.83Thyroid orbitopathy
- H05.831Thyroid orbitopathy, right orbit
- H05.832Thyroid orbitopathy, left orbit
- H05.833Thyroid orbitopathy, bilateral
- H05.839Thyroid orbitopathy, unspecified orbit
- H05.89Other disorders of orbit
- H05.9Unspecified disorder of orbit
H05 MS-DRGs
As the principal diagnosis, the billable codes under H05 group to MS-DRG 124, 125, 121, 122, or 123 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (70 of 102 codes)
- DRG 125 Other Disorders of the Eye without MCC (70 of 102 codes)
- DRG 121 Acute Major Eye Infections with CC/MCC (16 of 102 codes)
- DRG 122 Acute Major Eye Infections without CC/MCC (16 of 102 codes)
- DRG 123 Neurological Eye Disorders (16 of 102 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Eye Diseases
Even if your eyes feel healthy, you could have a problem and not know it. That's why regular eye exams are so important. Refractive errors are the most common type of vision problem that makes it hard to see clearly. But some eye conditions or diseases don't have any symptoms and can lead to a permanent loss of vision.
Read more about eye diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
