Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)
chapter 7: Diseases of the Eye and Adnexa
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Instructional notes
Excludes2: not included here, code separately if applicable
- nystagmus and other irregular eye movements (H55)
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 H49-H52
H49-H52 can't be used on a claim. Pick a billable code below; grey headings group them.
- H49Paralytic strabismus
- H49.0Third [oculomotor] nerve palsy
- H49.00Third [oculomotor] nerve palsy, unspecified eye
- H49.01Third [oculomotor] nerve palsy, right eye
- H49.02Third [oculomotor] nerve palsy, left eye
- H49.03Third [oculomotor] nerve palsy, bilateral
- H49.1Fourth [trochlear] nerve palsy
- H49.10Fourth [trochlear] nerve palsy, unspecified eye
- H49.11Fourth [trochlear] nerve palsy, right eye
- H49.12Fourth [trochlear] nerve palsy, left eye
- H49.13Fourth [trochlear] nerve palsy, bilateral
- H49.2Sixth [abducent] nerve palsy
- H49.20Sixth [abducent] nerve palsy, unspecified eye
- H49.21Sixth [abducent] nerve palsy, right eye
- H49.22Sixth [abducent] nerve palsy, left eye
- H49.23Sixth [abducent] nerve palsy, bilateral
- H49.3Total (external) ophthalmoplegia
- H49.30Total (external) ophthalmoplegia, unspecified eye
- H49.31Total (external) ophthalmoplegia, right eye
- H49.32Total (external) ophthalmoplegia, left eye
- H49.33Total (external) ophthalmoplegia, bilateral
- H49.4Progressive external ophthalmoplegia
- H49.40Progressive external ophthalmoplegia, unspecified eye
- H49.41Progressive external ophthalmoplegia, right eye
- H49.42Progressive external ophthalmoplegia, left eye
- H49.43Progressive external ophthalmoplegia, bilateral
- H49.8Other paralytic strabismus
- H49.81Kearns-Sayre syndrome
- H49.811Kearns-Sayre syndrome, right eye
- H49.812Kearns-Sayre syndrome, left eye
- H49.813Kearns-Sayre syndrome, bilateral
- H49.819Kearns-Sayre syndrome, unspecified eye
- H49.88Other paralytic strabismus
- H49.881Other paralytic strabismus, right eye
- H49.882Other paralytic strabismus, left eye
- H49.883Other paralytic strabismus, bilateral
- H49.889Other paralytic strabismus, unspecified eye
- H49.9Unspecified paralytic strabismus
- H50Other strabismus
- H50.0Esotropia
- H50.00Unspecified esotropia
- H50.01Monocular esotropia
- H50.011Monocular esotropia, right eye
- H50.012Monocular esotropia, left eye
- H50.02Monocular esotropia with A pattern
- H50.021Monocular esotropia with A pattern, right eye
- H50.022Monocular esotropia with A pattern, left eye
- H50.03Monocular esotropia with V pattern
- H50.031Monocular esotropia with V pattern, right eye
- H50.032Monocular esotropia with V pattern, left eye
- H50.04Monocular esotropia with other noncomitancies
- H50.041Monocular esotropia with other noncomitancies, right eye
- H50.042Monocular esotropia with other noncomitancies, left eye
- H50.05Alternating esotropia
- H50.06Alternating esotropia with A pattern
- H50.07Alternating esotropia with V pattern
- H50.08Alternating esotropia with other noncomitancies
- H50.1Exotropia
- H50.10Unspecified exotropia
- H50.11Monocular exotropia
- H50.111Monocular exotropia, right eye
- H50.112Monocular exotropia, left eye
- H50.12Monocular exotropia with A pattern
- H50.121Monocular exotropia with A pattern, right eye
- H50.122Monocular exotropia with A pattern, left eye
- H50.13Monocular exotropia with V pattern
- H50.131Monocular exotropia with V pattern, right eye
- H50.132Monocular exotropia with V pattern, left eye
- H50.14Monocular exotropia with other noncomitancies
- H50.141Monocular exotropia with other noncomitancies, right eye
- H50.142Monocular exotropia with other noncomitancies, left eye
- H50.15Alternating exotropia
- H50.16Alternating exotropia with A pattern
- H50.17Alternating exotropia with V pattern
- H50.18Alternating exotropia with other noncomitancies
- H50.2Vertical strabismus
- H50.21Vertical strabismus, right eye
- H50.22Vertical strabismus, left eye
- H50.3Intermittent heterotropia
- H50.30Unspecified intermittent heterotropia
- H50.31Intermittent monocular esotropia
- H50.311Intermittent monocular esotropia, right eye
- H50.312Intermittent monocular esotropia, left eye
- H50.32Intermittent alternating esotropia
- H50.33Intermittent monocular exotropia
- H50.331Intermittent monocular exotropia, right eye
- H50.332Intermittent monocular exotropia, left eye
- H50.34Intermittent alternating exotropia
- H50.4Other and unspecified heterotropia
- H50.40Unspecified heterotropia
- H50.41Cyclotropia
- H50.411Cyclotropia, right eye
- H50.412Cyclotropia, left eye
- H50.42Monofixation syndrome
- H50.43Accommodative component in esotropia
- H50.5Heterophoria
- H50.50Unspecified heterophoria
- H50.51Esophoria
- H50.52Exophoria
- H50.53Vertical heterophoria
- H50.54Cyclophoria
- H50.55Alternating heterophoria
- H50.6Mechanical strabismus
- H50.60Mechanical strabismus, unspecified
- H50.61Brown's sheath syndrome
- H50.611Brown's sheath syndrome, right eye
- H50.612Brown's sheath syndrome, left eye
- H50.62Inferior oblique muscle entrapment
- H50.621Inferior oblique muscle entrapment, right eye
- H50.622Inferior oblique muscle entrapment, left eye
- H50.629Inferior oblique muscle entrapment, unspecified eye
- H50.63Inferior rectus muscle entrapment
- H50.631Inferior rectus muscle entrapment, right eye
- H50.632Inferior rectus muscle entrapment, left eye
- H50.639Inferior rectus muscle entrapment, unspecified eye
- H50.64Lateral rectus muscle entrapment
- H50.641Lateral rectus muscle entrapment, right eye
- H50.642Lateral rectus muscle entrapment, left eye
- H50.649Lateral rectus muscle entrapment, unspecified eye
- H50.65Medial rectus muscle entrapment
- H50.651Medial rectus muscle entrapment, right eye
- H50.652Medial rectus muscle entrapment, left eye
- H50.659Medial rectus muscle entrapment, unspecified eye
- H50.66Superior oblique muscle entrapment
- H50.661Superior oblique muscle entrapment, right eye
- H50.662Superior oblique muscle entrapment, left eye
- H50.669Superior oblique muscle entrapment, unspecified eye
- H50.67Superior rectus muscle entrapment
- H50.671Superior rectus muscle entrapment, right eye
- H50.672Superior rectus muscle entrapment, left eye
- H50.679Superior rectus muscle entrapment, unspecified eye
- H50.68Extraocular muscle entrapment, unspecified
- H50.681Extraocular muscle entrapment, unspecified, right eye
- H50.682Extraocular muscle entrapment, unspecified, left eye
- H50.689Extraocular muscle entrapment, unspecified, unspecified eye
- H50.69Other mechanical strabismus
- H50.8Other specified strabismus
- H50.81Duane's syndrome
- H50.811Duane's syndrome, right eye
- H50.812Duane's syndrome, left eye
- H50.89Other specified strabismus
- H50.9Unspecified strabismus
- H51Other disorders of binocular movement
- H51.0Palsy (spasm) of conjugate gaze
- H51.1Convergence insufficiency and excess
- H51.11Convergence insufficiency
- H51.12Convergence excess
- H51.2Internuclear ophthalmoplegia
- H51.20Internuclear ophthalmoplegia, unspecified eye
- H51.21Internuclear ophthalmoplegia, right eye
- H51.22Internuclear ophthalmoplegia, left eye
- H51.23Internuclear ophthalmoplegia, bilateral
- H51.8Other specified disorders of binocular movement
- H51.9Unspecified disorder of binocular movement
- H52Disorders of refraction and accommodation
- H52.0Hypermetropia
- H52.00Hypermetropia, unspecified eye
- H52.01Hypermetropia, right eye
- H52.02Hypermetropia, left eye
- H52.03Hypermetropia, bilateral
- H52.1Myopia
- H52.10Myopia, unspecified eye
- H52.11Myopia, right eye
- H52.12Myopia, left eye
- H52.13Myopia, bilateral
- H52.2Astigmatism
- H52.20Unspecified astigmatism
- H52.201Unspecified astigmatism, right eye
- H52.202Unspecified astigmatism, left eye
- H52.203Unspecified astigmatism, bilateral
- H52.209Unspecified astigmatism, unspecified eye
- H52.21Irregular astigmatism
- H52.211Irregular astigmatism, right eye
- H52.212Irregular astigmatism, left eye
- H52.213Irregular astigmatism, bilateral
- H52.219Irregular astigmatism, unspecified eye
- H52.22Regular astigmatism
- H52.221Regular astigmatism, right eye
- H52.222Regular astigmatism, left eye
- H52.223Regular astigmatism, bilateral
- H52.229Regular astigmatism, unspecified eye
- H52.3Anisometropia and aniseikonia
- H52.31Anisometropia
- H52.32Aniseikonia
- H52.4Presbyopia
- H52.5Disorders of accommodation
- H52.51Internal ophthalmoplegia (complete) (total)
- H52.511Internal ophthalmoplegia (complete) (total), right eye
- H52.512Internal ophthalmoplegia (complete) (total), left eye
- H52.513Internal ophthalmoplegia (complete) (total), bilateral
- H52.519Internal ophthalmoplegia (complete) (total), unspecified eye
- H52.52Paresis of accommodation
- H52.521Paresis of accommodation, right eye
- H52.522Paresis of accommodation, left eye
- H52.523Paresis of accommodation, bilateral
- H52.529Paresis of accommodation, unspecified eye
- H52.53Spasm of accommodation
- H52.531Spasm of accommodation, right eye
- H52.532Spasm of accommodation, left eye
- H52.533Spasm of accommodation, bilateral
- H52.539Spasm of accommodation, unspecified eye
- H52.6Other disorders of refraction
- H52.7Unspecified disorder of refraction
H49-H52 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Eye Movement Disorders
When you look at an object, you're using several muscles to move both eyes to focus on it. If you have a problem with the muscles, the eyes don't work properly.
Read more about eye movement disorders on MedlinePlus