H05

Non-Billable
ChapterH00–H59
Rankcategory
Official Description

Disorders of orbit

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)

H00-H05 Parent Instructions

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

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • congenital malformation of orbit (Q10.7)

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H00-H05Disorders of eyelid, lacrimal system and orbit (H00-H05)
H05Disorders of orbitNot billable
H05.0Acute inflammation of orbitSubcodes
H05.1Chronic inflammatory disorders of orbitSubcodes
H05.2Exophthalmic conditionsSubcodes
H05.3Deformity of orbitSubcodes
H05.4EnophthalmosSubcodes
H05.5Retained (old) foreign body following penetrating wound of orbitSubcodes
H05.8Other disorders of orbitSubcodes
H05.9Unspecified disorder of orbitBillable

Applicable Ancestor Context

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

blockH00-H05
Disorders of eyelid, lacrimal system and orbit (H00-H05)
View context instructions
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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