H59.03
H59.03 — Cystoid macular edema following cataract surgery
Non-billable headerICD-10-CM
H59.03 is a non-billable header ICD-10-CM code for cystoid macular edema following cataract surgery. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with H59.03
These codes carry an Excludes1 note pointing at H59.03. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H59.03 alone.
- H35.35Cystoid macular degeneration
Risk adjustment
H59.03 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.
Code to one of these instead H59.03
4 child codes. Green means billable.
Related codes at this level
Codes that share H59.0. If H59.03 is not quite right, the correct code is usually one of these.
Questions about H59.03
- Is H59.03 a billable ICD-10-CM code?
- No. H59.03 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H59.03 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).