H59.021
H59.021 — Cataract (lens) fragments in eye following cataract surgery, right eye
Billable / specific codeICD-10-CMright
H59.021 is a billable, specific ICD-10-CM code for cataract (lens) fragments in eye following cataract surgery, right eye. It is valid for submission on a claim.
Risk adjustment
H59.021 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H59.021 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56453Billing and Coding: Cataract Extraction
- A56544Billing and Coding: Cataract Extraction
- A56613Billing and Coding: Cataract Surgery
Related codes at this level
Codes that share H59.02. If H59.021 is not quite right, the correct code is usually one of these.
Questions about H59.021
- Is H59.021 a billable ICD-10-CM code?
- Yes. H59.021 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H59.021 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified (H59).