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.

Excludes1 inherited from the categories above H59.03

A category’s note binds every code beneath it.

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

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 H59.03

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

H35.35Cystoid macular degeneration

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 H59.03

4 child codes. Green means billable.