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H59.43

H59.43: Inflammation (infection) of postprocedural bleb, stage 3

Billable / specific codeICD-10-CM

H59.43 is a billable, specific ICD-10-CM code for inflammation (infection) of postprocedural bleb, stage 3. It is valid for submission on a claim.

Check H59.43 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Bleb endophthalmitis

Excludes1 inherited from the categories above H59.43

A category’s note binds every code beneath it.

Written on H59.4: Inflammation (infection) of postprocedural bleb

  • filtering (vitreous) bleb after glaucoma surgery status (Z98.83)

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

H59.43 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56551Billing and Coding: Visual Fields Testing
  • A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
  • A56799Billing and Coding: Visual Fields Testing

Alphabetic index entries that lead here

  • Bleb›endophthalmitis
  • Blebitis, postprocedural›stage 3
  • Bleb›inflamed, postprocedural›stage 3

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H59.4

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.