Is H59.21 a billable ICD-10-CM code?

No. H59.21 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H59.21 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).

H59.21

H59.21 — Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure

Non-billable headerICD-10-CM

H59.21 is a non-billable header ICD-10-CM code for accidental puncture and laceration of eye and adnexa during an ophthalmic procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H59.21 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 H59.21

4 child codes. Green means billable.

Related codes at this level

Codes that share H59.2. If H59.21 is not quite right, the correct code is usually one of these.

H59.22Accidental puncture and laceration of eye and adnexa during other procedure

Questions about H59.21

Is H59.21 a billable ICD-10-CM code?: No. H59.21 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H59.21 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).