H59.1
H59.1 — Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
Non-billable headerICD-10-CM
H59.1 is a non-billable header ICD-10-CM code for intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure. 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.
- intraoperative hemorrhage and hematoma of eye and adnexa due to accidental puncture or laceration during a procedure (H59.2-)
Risk adjustment
H59.1 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 H59.1
2 child codes. Green means billable.
Related codes at this level
Codes that share H59. If H59.1 is not quite right, the correct code is usually one of these.
- H59.0Disorders of the eye following cataract surgery
- H59.2Accidental puncture and laceration of eye and adnexa during a procedure
- H59.3Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure
- H59.4Inflammation (infection) of postprocedural bleb
- H59.8Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Questions about H59.1
- Is H59.1 a billable ICD-10-CM code?
- No. H59.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H59.1 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).
- What cannot be coded together with H59.1?
- H59.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.