Diseases of the eye and adnexa H00-H59

Note
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (H00-H59) and the excluded code together.
  • certain conditions originating in the perinatal period (
    ICD-10-CM Diagnosis Code P04

    Newborn affected by noxious substances transmitted via placenta or breast milk

      2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • nonteratogenic effects of substances transmitted via placenta
    Type 2 Excludes
    • congenital malformations (Q00-Q99)
    • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
    • neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
    • newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
    P04
    -
    ICD-10-CM Diagnosis Code P96

    Other conditions originating in the perinatal period

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    P96
    )
  • certain infectious and parasitic diseases (A00-B99
    ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    • A00-A09 Intestinal infectious diseases
    • A15-A19 Tuberculosis
    • A20-A28 Certain zoonotic bacterial diseases
    • A30-A49 Other bacterial diseases
    • A50-A64 Infections with a predominantly sexual m...
    • A65-A69 Other spirochetal diseases
    • A70-A74 Other diseases caused by chlamydiae
    • A75-A79 Rickettsioses
    • A80-A89 Viral and prion infections of the centra...
    • A90-A99 Arthropod-borne viral fevers and viral h...
    • B00-B09 Viral infections characterized by skin a...
    • B10-B10 Other human herpesviruses
    • B15-B19 Viral hepatitis
    • B20-B20 Human immunodeficiency virus [HIV] disea...
    • B25-B34 Other viral diseases
    • B35-B49 Mycoses
    • B50-B64 Protozoal diseases
    • B65-B83 Helminthiases
    • B85-B89 Pediculosis, acariasis and other infesta...
    • B90-B94 Sequelae of infectious and parasitic dis...
    • B95-B97 Bacterial and viral infectious agents
    • B99-B99 Other infectious diseases
    )
  • complications of pregnancy, childbirth and the puerperium (O00-O9A
    ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    • O00-O08 Pregnancy with abortive outcome
    • O09-O09 Supervision of high risk pregnancy
    • O10-O16 Edema, proteinuria and hypertensive diso...
    • O20-O29 Other maternal disorders predominantly r...
    • O30-O48 Maternal care related to the fetus and a...
    • O60-O77 Complications of labor and delivery
    • O80-O82 Encounter for delivery
    • O85-O92 Complications predominantly related to t...
    • O94-O9A Other obstetric conditions, not elsewher...
    )
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99
    ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    • Q00-Q07 Congenital malformations of the nervous ...
    • Q10-Q18 Congenital malformations of eye, ear, fa...
    • Q20-Q28 Congenital malformations of the circulat...
    • Q30-Q34 Congenital malformations of the respirat...
    • Q35-Q37 Cleft lip and cleft palate
    • Q38-Q45 Other congenital malformations of the di...
    • Q50-Q56 Congenital malformations of genital orga...
    • Q60-Q64 Congenital malformations of the urinary ...
    • Q65-Q79 Congenital malformations and deformation...
    • Q80-Q89 Other congenital malformations
    • Q90-Q99 Chromosomal abnormalities, not elsewhere...
    )
  • diabetes mellitus related eye conditions (
    ICD-10-CM Diagnosis Code E09.3

    Drug or chemical induced diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    E09.3-
    ,
    ICD-10-CM Diagnosis Code E10.3

    Type 1 diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    E10.3-
    ,
    ICD-10-CM Diagnosis Code E11.3

    Type 2 diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    E11.3-
    ,
    ICD-10-CM Diagnosis Code E13.3

    Other specified diabetes mellitus with ophthalmic complications

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    E13.3-
    )
  • endocrine, nutritional and metabolic diseases (
    ICD-10-CM Diagnosis Code E00

    Congenital iodine-deficiency syndrome

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • subclinical iodine-deficiency hypothyroidism (E02)
    Use Additional
    • code (F70-F79) to identify associated intellectual disabilities.
    E00
    -
    ICD-10-CM Diagnosis Code E88

    Other and unspecified metabolic disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • histiocytosis X (chronic) (C96.6)
    Use Additional
    • codes for associated conditions
    E88
    )
  • injury (trauma) of eye and orbit (
    ICD-10-CM Diagnosis Code S05
    • S05 Injury of eye and orbit
      • S05.0 Injury of conjunctiva and corneal abrasion wi...
        • S05.00 Injury of conjunctiva and corneal abrasion wi...
          • S05.00XA Injury of conjunctiva and corneal abrasion wi...
          • S05.00XD Injury of conjunctiva and corneal abrasion wi...
          • S05.00XS Injury of conjunctiva and corneal abrasion wi...
        • S05.01 Injury of conjunctiva and corneal abrasion wi...
          • S05.01XA Injury of conjunctiva and corneal abrasion wi...
          • S05.01XD Injury of conjunctiva and corneal abrasion wi...
          • S05.01XS Injury of conjunctiva and corneal abrasion wi...
        • S05.02 Injury of conjunctiva and corneal abrasion wi...
          • S05.02XA Injury of conjunctiva and corneal abrasion wi...
          • S05.02XD Injury of conjunctiva and corneal abrasion wi...
          • S05.02XS Injury of conjunctiva and corneal abrasion wi...
      • S05.1 Contusion of eyeball and orbital tissues
        • S05.10 Contusion of eyeball and orbital tissues, uns...
          • S05.10XA Contusion of eyeball and orbital tissues, uns...
          • S05.10XD Contusion of eyeball and orbital tissues, uns...
          • S05.10XS Contusion of eyeball and orbital tissues, uns...
        • S05.11 Contusion of eyeball and orbital tissues, rig...
          • S05.11XA Contusion of eyeball and orbital tissues, rig...
          • S05.11XD Contusion of eyeball and orbital tissues, rig...
          • S05.11XS Contusion of eyeball and orbital tissues, rig...
        • S05.12 Contusion of eyeball and orbital tissues, lef...
          • S05.12XA Contusion of eyeball and orbital tissues, lef...
          • S05.12XD Contusion of eyeball and orbital tissues, lef...
          • S05.12XS Contusion of eyeball and orbital tissues, lef...
      • S05.2 Ocular laceration and rupture with prolapse o...
        • S05.20 Ocular laceration and rupture with prolapse o...
          • S05.20XA Ocular laceration and rupture with prolapse o...
          • S05.20XD Ocular laceration and rupture with prolapse o...
          • S05.20XS Ocular laceration and rupture with prolapse o...
        • S05.21 Ocular laceration and rupture with prolapse o...
          • S05.21XA Ocular laceration and rupture with prolapse o...
          • S05.21XD Ocular laceration and rupture with prolapse o...
          • S05.21XS Ocular laceration and rupture with prolapse o...
        • S05.22 Ocular laceration and rupture with prolapse o...
          • S05.22XA Ocular laceration and rupture with prolapse o...
          • S05.22XD Ocular laceration and rupture with prolapse o...
          • S05.22XS Ocular laceration and rupture with prolapse o...
      • S05.3 Ocular laceration without prolapse or loss of...
        • S05.30 Ocular laceration without prolapse or loss of...
          • S05.30XA Ocular laceration without prolapse or loss of...
          • S05.30XD Ocular laceration without prolapse or loss of...
          • S05.30XS Ocular laceration without prolapse or loss of...
        • S05.31 Ocular laceration without prolapse or loss of...
          • S05.31XA Ocular laceration without prolapse or loss of...
          • S05.31XD Ocular laceration without prolapse or loss of...
          • S05.31XS Ocular laceration without prolapse or loss of...
        • S05.32 Ocular laceration without prolapse or loss of...
          • S05.32XA Ocular laceration without prolapse or loss of...
          • S05.32XD Ocular laceration without prolapse or loss of...
          • S05.32XS Ocular laceration without prolapse or loss of...
      • S05.4 Penetrating wound of orbit with or without fo...
        • S05.40 Penetrating wound of orbit with or without fo...
          • S05.40XA Penetrating wound of orbit with or without fo...
          • S05.40XD Penetrating wound of orbit with or without fo...
          • S05.40XS Penetrating wound of orbit with or without fo...
        • S05.41 Penetrating wound of orbit with or without fo...
          • S05.41XA Penetrating wound of orbit with or without fo...
          • S05.41XD Penetrating wound of orbit with or without fo...
          • S05.41XS Penetrating wound of orbit with or without fo...
        • S05.42 Penetrating wound of orbit with or without fo...
          • S05.42XA Penetrating wound of orbit with or without fo...
          • S05.42XD Penetrating wound of orbit with or without fo...
          • S05.42XS Penetrating wound of orbit with or without fo...
      • S05.5 Penetrating wound with foreign body of eyebal...
        • S05.50 Penetrating wound with foreign body of unspec...
          • S05.50XA Penetrating wound with foreign body of unspec...
          • S05.50XD Penetrating wound with foreign body of unspec...
          • S05.50XS Penetrating wound with foreign body of unspec...
        • S05.51 Penetrating wound with foreign body of right ...
          • S05.51XA Penetrating wound with foreign body of right ...
          • S05.51XD Penetrating wound with foreign body of right ...
          • S05.51XS Penetrating wound with foreign body of right ...
        • S05.52 Penetrating wound with foreign body of left e...
          • S05.52XA Penetrating wound with foreign body of left e...
          • S05.52XD Penetrating wound with foreign body of left e...
          • S05.52XS Penetrating wound with foreign body of left e...
      • S05.6 Penetrating wound without foreign body of eye...
        • S05.60 Penetrating wound without foreign body of uns...
          • S05.60XA Penetrating wound without foreign body of uns...
          • S05.60XD Penetrating wound without foreign body of uns...
          • S05.60XS Penetrating wound without foreign body of uns...
        • S05.61 Penetrating wound without foreign body of rig...
          • S05.61XA Penetrating wound without foreign body of rig...
          • S05.61XD Penetrating wound without foreign body of rig...
          • S05.61XS Penetrating wound without foreign body of rig...
        • S05.62 Penetrating wound without foreign body of lef...
          • S05.62XA Penetrating wound without foreign body of lef...
          • S05.62XD Penetrating wound without foreign body of lef...
          • S05.62XS Penetrating wound without foreign body of lef...
      • S05.7 Avulsion of eye
      • S05.8 Other injuries of eye and orbit
        • S05.8X Other injuries of eye and orbit
          • S05.8X1 Other injuries of right eye and orbit
            • S05.8X1A Other injuries of right eye and orbit, initia...
            • S05.8X1D Other injuries of right eye and orbit, subseq...
            • S05.8X1S Other injuries of right eye and orbit, sequel...
          • S05.8X2 Other injuries of left eye and orbit
            • S05.8X2A Other injuries of left eye and orbit, initial...
            • S05.8X2D Other injuries of left eye and orbit, subsequ...
            • S05.8X2S Other injuries of left eye and orbit, sequela...
          • S05.8X9 Other injuries of unspecified eye and orbit
            • S05.8X9A Other injuries of unspecified eye and orbit, ...
            • S05.8X9D Other injuries of unspecified eye and orbit, ...
            • S05.8X9S Other injuries of unspecified eye and orbit, ...
      • S05.9 Unspecified injury of eye and orbit
        • S05.90 Unspecified injury of unspecified eye and orb...
          • S05.90XA Unspecified injury of unspecified eye and orb...
          • S05.90XD Unspecified injury of unspecified eye and orb...
          • S05.90XS Unspecified injury of unspecified eye and orb...
        • S05.91 Unspecified injury of right eye and orbit
          • S05.91XA Unspecified injury of right eye and orbit, in...
          • S05.91XD Unspecified injury of right eye and orbit, su...
          • S05.91XS Unspecified injury of right eye and orbit, se...
        • S05.92 Unspecified injury of left eye and orbit
          • S05.92XA Unspecified injury of left eye and orbit, ini...
          • S05.92XD Unspecified injury of left eye and orbit, sub...
          • S05.92XS Unspecified injury of left eye and orbit, seq...
    S05.-
    )
  • injury, poisoning and certain other consequences of external causes (S00-T88
    ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    • S00-S09 Injuries to the head
    • S10-S19 Injuries to the neck
    • S20-S29 Injuries to the thorax
    • S30-S39 Injuries to the abdomen, lower back, lum...
    • S40-S49 Injuries to the shoulder and upper arm
    • S50-S59 Injuries to the elbow and forearm
    • S60-S69 Injuries to the wrist, hand and fingers
    • S70-S79 Injuries to the hip and thigh
    • S80-S89 Injuries to the knee and lower leg
    • S90-S99 Injuries to the ankle and foot
    • T07-T07 Injuries involving multiple body regions
    • T14-T14 Injury of unspecified body region
    • T15-T19 Effects of foreign body entering through...
    • T20-T25 Burns and corrosions of external body su...
    • T26-T28 Burns and corrosions confined to eye and...
    • T30-T32 Burns and corrosions of multiple and uns...
    • T33-T34 Frostbite
    • T36-T50 Poisoning by, adverse effect of and unde...
    • T51-T65 Toxic effects of substances chiefly nonm...
    • T66-T78 Other and unspecified effects of externa...
    • T79-T79 Certain early complications of trauma
    • T80-T88 Complications of surgical and medical ca...
    )
  • neoplasms (C00-D49
    ICD-10-CM Range C00-D49

    Neoplasms

    • C00-C14 Malignant neoplasms of lip, oral cavity ...
    • C15-C26 Malignant neoplasms of digestive organs
    • C30-C39 Malignant neoplasms of respiratory and i...
    • C40-C41 Malignant neoplasms of bone and articula...
    • C43-C44 Melanoma and other malignant neoplasms o...
    • C45-C49 Malignant neoplasms of mesothelial and s...
    • C50-C50 Malignant neoplasms of breast
    • C51-C58 Malignant neoplasms of female genital or...
    • C60-C63 Malignant neoplasms of male genital orga...
    • C64-C68 Malignant neoplasms of urinary tract
    • C69-C72 Malignant neoplasms of eye, brain and ot...
    • C73-C75 Malignant neoplasms of thyroid and other...
    • C76-C80 Malignant neoplasms of ill-defined, othe...
    • C7A-C7A Malignant neuroendocrine tumors
    • C7B-C7B Secondary neuroendocrine tumors
    • C81-C96 Malignant neoplasms of lymphoid, hematop...
    • D00-D09 In situ neoplasms
    • D10-D36 Benign neoplasms, except benign neuroend...
    • D37-D48 Neoplasms of uncertain behavior, polycyt...
    • D3A-D3A Benign neuroendocrine tumors
    • D49-D49 Neoplasms of unspecified behavior
    )
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (
    ICD-10-CM Diagnosis Code R00

    Abnormalities of heart beat

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • abnormalities originating in the perinatal period (P29.1-)
    Type 2 Excludes
    • specified arrhythmias (I47-I49)
    R00
    -
    ICD-10-CM Diagnosis Code R94

    Abnormal results of function studies

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • abnormal results of radionuclide [radioisotope] uptake studies
    • abnormal results of scintigraphy
    R94
    )
  • syphilis related eye disorders (
    ICD-10-CM Diagnosis Code A50.01

    Early congenital syphilitic oculopathy

      2016 2017 2018 2019 2020 Billable/Specific Code
    A50.01
    ,
    ICD-10-CM Diagnosis Code A50.3

    Late congenital syphilitic oculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    A50.3-
    ,
    ICD-10-CM Diagnosis Code A51.43

    Secondary syphilitic oculopathy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Secondary syphilitic chorioretinitis
    • Secondary syphilitic iridocyclitis, iritis
    • Secondary syphilitic uveitis
    A51.43
    ,
    ICD-10-CM Diagnosis Code A52.71

    Late syphilitic oculopathy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Late syphilitic chorioretinitis
    • Late syphilitic episcleritis
    A52.71
    )
Code

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