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H59.211

H59.211: Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure

Billable / specific codeICD-10-CMright

H59.211 is a billable, specific ICD-10-CM code for accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure. It is valid for submission on a claim.

Check H59.211 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H59.211

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-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H59.211 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56697Billing and Coding: Non-Invasive Vascular Studies
  • A56758Billing and Coding: Non-Invasive Vascular Studies
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H59.21

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.