H59

Non-Billable
ChapterH00–H59
Rankcategory
Official Description

Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified

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)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • mechanical complication of intraocular lens (T85.2)
  • mechanical complication of other ocular prosthetic devices, implants and grafts (T85.3)
  • pseudophakia (Z96.1)
  • secondary cataracts (H26.4-)

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classifiedNot billable
H59.0Disorders of the eye following cataract surgerySubcodes
H59.1Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedureSubcodes
H59.2Accidental puncture and laceration of eye and adnexa during a procedureSubcodes
H59.3Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedureSubcodes
H59.4Inflammation (infection) of postprocedural blebSubcodes
H59.8Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classifiedSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to H59:

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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