H59.221
H59.221 — Accidental puncture and laceration of right eye and adnexa during other procedure
Billable / specific codeICD-10-CMright
H59.221 is a billable, specific ICD-10-CM code for accidental puncture and laceration of right eye and adnexa during other procedure. It is valid for submission on a claim.
Risk adjustment
H59.221 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.
Medicare coverage
H59.221 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share H59.22. If H59.221 is not quite right, the correct code is usually one of these.
Questions about H59.221
- Is H59.221 a billable ICD-10-CM code?
- Yes. H59.221 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H59.221 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).