Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
chapter 7: Diseases of the Eye and Adnexa
66 billable codes under H59: 58 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
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 H59
H59 can't be used on a claim. Pick a billable code below; grey headings group them.
- H59.0Disorders of the eye following cataract surgery
- H59.01Keratopathy (bullous aphakic) following cataract surgery
- H59.011Keratopathy (bullous aphakic) following cataract surgery, right eye
- H59.012Keratopathy (bullous aphakic) following cataract surgery, left eye
- H59.013Keratopathy (bullous aphakic) following cataract surgery, bilateral
- H59.019Keratopathy (bullous aphakic) following cataract surgery, unspecified eye
- H59.02Cataract (lens) fragments in eye following cataract surgery
- H59.021Cataract (lens) fragments in eye following cataract surgery, right eye
- H59.022Cataract (lens) fragments in eye following cataract surgery, left eye
- H59.023Cataract (lens) fragments in eye following cataract surgery, bilateral
- H59.029Cataract (lens) fragments in eye following cataract surgery, unspecified eye
- H59.03Cystoid macular edema following cataract surgery
- H59.031Cystoid macular edema following cataract surgery, right eye
- H59.032Cystoid macular edema following cataract surgery, left eye
- H59.033Cystoid macular edema following cataract surgery, bilateral
- H59.039Cystoid macular edema following cataract surgery, unspecified eye
- H59.09Other disorders of the eye following cataract surgery
- H59.091Other disorders of the right eye following cataract surgery
- H59.092Other disorders of the left eye following cataract surgery
- H59.093Other disorders of the eye following cataract surgery, bilateral
- H59.099Other disorders of unspecified eye following cataract surgery
- H59.1Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
- H59.11Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure
- H59.111Intraoperative hemorrhage and hematoma of right eye and adnexa complicating an ophthalmic procedure
- H59.112Intraoperative hemorrhage and hematoma of left eye and adnexa complicating an ophthalmic procedure
- H59.113Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral
- H59.119Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating an ophthalmic procedure
- H59.12Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure
- H59.121Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure
- H59.122Intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure
- H59.123Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateral
- H59.129Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedure
- H59.2Accidental puncture and laceration of eye and adnexa during a procedure
- H59.21Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure
- H59.211Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure
- H59.212Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure
- H59.213Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure, bilateral
- H59.219Accidental puncture and laceration of unspecified eye and adnexa during an ophthalmic procedure
- H59.22Accidental puncture and laceration of eye and adnexa during other procedure
- H59.221Accidental puncture and laceration of right eye and adnexa during other procedure
- H59.222Accidental puncture and laceration of left eye and adnexa during other procedure
- H59.223Accidental puncture and laceration of eye and adnexa during other procedure, bilateral
- H59.229Accidental puncture and laceration of unspecified eye and adnexa during other procedure
- H59.3Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure
- H59.31Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure
- H59.311Postprocedural hemorrhage of right eye and adnexa following an ophthalmic procedure
- H59.312Postprocedural hemorrhage of left eye and adnexa following an ophthalmic procedure
- H59.313Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure, bilateral
- H59.319Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedure
- H59.32Postprocedural hemorrhage of eye and adnexa following other procedure
- H59.321Postprocedural hemorrhage of right eye and adnexa following other procedure
- H59.322Postprocedural hemorrhage of left eye and adnexa following other procedure
- H59.323Postprocedural hemorrhage of eye and adnexa following other procedure, bilateral
- H59.329Postprocedural hemorrhage of unspecified eye and adnexa following other procedure
- H59.33Postprocedural hematoma of eye and adnexa following an ophthalmic procedure
- H59.331Postprocedural hematoma of right eye and adnexa following an ophthalmic procedure
- H59.332Postprocedural hematoma of left eye and adnexa following an ophthalmic procedure
- H59.333Postprocedural hematoma of eye and adnexa following an ophthalmic procedure, bilateral
- H59.339Postprocedural hematoma of unspecified eye and adnexa following an ophthalmic procedure
- H59.34Postprocedural hematoma of eye and adnexa following other procedure
- H59.341Postprocedural hematoma of right eye and adnexa following other procedure
- H59.342Postprocedural hematoma of left eye and adnexa following other procedure
- H59.343Postprocedural hematoma of eye and adnexa following other procedure, bilateral
- H59.349Postprocedural hematoma of unspecified eye and adnexa following other procedure
- H59.35Postprocedural seroma of eye and adnexa following an ophthalmic procedure
- H59.351Postprocedural seroma of right eye and adnexa following an ophthalmic procedure
- H59.352Postprocedural seroma of left eye and adnexa following an ophthalmic procedure
- H59.353Postprocedural seroma of eye and adnexa following an ophthalmic procedure, bilateral
- H59.359Postprocedural seroma of unspecified eye and adnexa following an ophthalmic procedure
- H59.36Postprocedural seroma of eye and adnexa following other procedure
- H59.361Postprocedural seroma of right eye and adnexa following other procedure
- H59.362Postprocedural seroma of left eye and adnexa following other procedure
- H59.363Postprocedural seroma of eye and adnexa following other procedure, bilateral
- H59.369Postprocedural seroma of unspecified eye and adnexa following other procedure
- H59.4Inflammation (infection) of postprocedural bleb
- H59.40Inflammation (infection) of postprocedural bleb, unspecified
- H59.41Inflammation (infection) of postprocedural bleb, stage 1
- H59.42Inflammation (infection) of postprocedural bleb, stage 2
- H59.43Inflammation (infection) of postprocedural bleb, stage 3
- H59.8Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
- H59.81Chorioretinal scars after surgery for detachment
- H59.811Chorioretinal scars after surgery for detachment, right eye
- H59.812Chorioretinal scars after surgery for detachment, left eye
- H59.813Chorioretinal scars after surgery for detachment, bilateral
- H59.819Chorioretinal scars after surgery for detachment, unspecified eye
- H59.88Other intraoperative complications of eye and adnexa, not elsewhere classified
- H59.89Other postprocedural complications and disorders of eye and adnexa, not elsewhere classified
H59 MS-DRGs
As the principal diagnosis, the billable codes under H59 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 919 Complications of Treatment with MCC (58 of 66 codes)
- DRG 920 Complications of Treatment with CC (58 of 66 codes)
- DRG 921 Complications of Treatment without CC/MCC (58 of 66 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (8 of 66 codes)
- DRG 125 Other Disorders of the Eye without MCC (8 of 66 codes)
- DRG 791 Prematurity with Major Problems (8 of 66 codes)
- DRG 793 Full Term Neonate with Major Problems (8 of 66 codes)
Other codes that refer to H59
Notes on these codes point to H59.
- T80-T88 Excludes2: intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- T81 Excludes2: intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
- Z83.51 Includes: Conditions classifiable to H00-H53, H55-H59
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.
