H59

H59: Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified

Non-billable headerICD-10-CM

H59 is a non-billable header ICD-10-CM code for intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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-)

Other codes that can never be billed with H59

Their own Excludes1 notes name this code, so the conflict is not listed above.

H31.01Macula scars of posterior pole (postinflammatory) (post-traumatic)
H33.3Retinal breaks without detachment
H35.35Cystoid macular degeneration
H43.0Vitreous prolapse
H44.0Purulent endophthalmitis
H44.1Other endophthalmitis
H59.1Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
Z98.83Filtering (vitreous) bleb after glaucoma surgery status

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead H59

6 child codes. Green means billable.