Other disorders of eye and adnexa
In Other disorders of eye and adnexa (H55-H57), chapter 7: Diseases of the Eye and Adnexa
24 billable codes under H57: none are a CC or MCC; none map to an HCC.
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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 H57
H57 can't be used on a claim. Pick a billable code below; grey headings group them.
- H57.0Anomalies of pupillary function
- H57.00Unspecified anomaly of pupillary function
- H57.01Argyll Robertson pupil, atypical
- H57.02Anisocoria
- H57.03Miosis
- H57.04Mydriasis
- H57.05Tonic pupil
- H57.051Tonic pupil, right eye
- H57.052Tonic pupil, left eye
- H57.053Tonic pupil, bilateral
- H57.059Tonic pupil, unspecified eye
- H57.09Other anomalies of pupillary function
- H57.1Ocular pain
- H57.10Ocular pain, unspecified eye
- H57.11Ocular pain, right eye
- H57.12Ocular pain, left eye
- H57.13Ocular pain, bilateral
- H57.8Other specified disorders of eye and adnexa
- H57.81Brow ptosis
- H57.811Brow ptosis, right
- H57.812Brow ptosis, left
- H57.813Brow ptosis, bilateral
- H57.819Brow ptosis, unspecified
- H57.89Other specified disorders of eye and adnexa
- H57.8AForeign body sensation eye (ocular)
- H57.8A1Foreign body sensation, right eye
- H57.8A2Foreign body sensation, left eye
- H57.8A3Foreign body sensation, bilateral eyes
- H57.8A9Foreign body sensation, unspecified eye
- H57.9Unspecified disorder of eye and adnexa
H57 MS-DRGs
As the principal diagnosis, the billable codes under H57 group to MS-DRG 124, 125, 123, 056, or 057 (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 (14 of 24 codes)
- DRG 125 Other Disorders of the Eye without MCC (14 of 24 codes)
- DRG 123 Neurological Eye Disorders (9 of 24 codes)
- DRG 056 Degenerative Nervous System Disorders with MCC (1 of 24 codes)
- DRG 057 Degenerative Nervous System Disorders without MCC (1 of 24 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.