Chapter 7

H00–H59: Diseases of the Eye and Adnexa

Diseases of the Eye and Adnexa diagnostic classification updated for 2026.

Chapter 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)
Internal Codes
  • H49

    Paralytic strabismus

  • H49.0

    Third [oculomotor] nerve palsy

  • H49.00

    Third [oculomotor] nerve palsy, unspecified eye

  • H49.01

    Third [oculomotor] nerve palsy, right eye

  • H49.02

    Third [oculomotor] nerve palsy, left eye

  • H49.03

    Third [oculomotor] nerve palsy, bilateral

  • H49.1

    Fourth [trochlear] nerve palsy

  • H49.10

    Fourth [trochlear] nerve palsy, unspecified eye

  • H49.11

    Fourth [trochlear] nerve palsy, right eye

  • H49.12

    Fourth [trochlear] nerve palsy, left eye

  • H49.13

    Fourth [trochlear] nerve palsy, bilateral

  • H49.2

    Sixth [abducent] nerve palsy

  • H49.20

    Sixth [abducent] nerve palsy, unspecified eye

  • H49.21

    Sixth [abducent] nerve palsy, right eye

  • H49.22

    Sixth [abducent] nerve palsy, left eye

  • H49.23

    Sixth [abducent] nerve palsy, bilateral

  • H49.3

    Total (external) ophthalmoplegia

  • H49.30

    Total (external) ophthalmoplegia, unspecified eye

  • H49.31

    Total (external) ophthalmoplegia, right eye

  • H49.32

    Total (external) ophthalmoplegia, left eye

  • H49.33

    Total (external) ophthalmoplegia, bilateral

  • H49.4

    Progressive external ophthalmoplegia

  • H49.40

    Progressive external ophthalmoplegia, unspecified eye

  • H49.41

    Progressive external ophthalmoplegia, right eye

  • H49.42

    Progressive external ophthalmoplegia, left eye

  • H49.43

    Progressive external ophthalmoplegia, bilateral

  • H49.8

    Other paralytic strabismus

  • H49.81

    Kearns-Sayre syndrome

  • H49.811

    Kearns-Sayre syndrome, right eye

  • H49.812

    Kearns-Sayre syndrome, left eye

  • H49.813

    Kearns-Sayre syndrome, bilateral

  • H49.819

    Kearns-Sayre syndrome, unspecified eye

  • H49.88

    Other paralytic strabismus

  • H49.881

    Other paralytic strabismus, right eye

  • H49.882

    Other paralytic strabismus, left eye

  • H49.883

    Other paralytic strabismus, bilateral

  • H49.889

    Other paralytic strabismus, unspecified eye

  • H49.9

    Unspecified paralytic strabismus

  • H50

    Other strabismus

  • H50.0

    Esotropia

  • H50.00

    Unspecified esotropia

  • H50.01

    Monocular esotropia

  • H50.011

    Monocular esotropia, right eye

  • H50.012

    Monocular esotropia, left eye

  • H50.02

    Monocular esotropia with A pattern

  • H50.021

    Monocular esotropia with A pattern, right eye

  • H50.022

    Monocular esotropia with A pattern, left eye

  • H50.03

    Monocular esotropia with V pattern

  • H50.031

    Monocular esotropia with V pattern, right eye

  • H50.032

    Monocular esotropia with V pattern, left eye

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