H59.43 — Inflammation (infection) of postprocedural bleb, stage 3
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bleb endophthalmitis
Risk adjustment
H59.43 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
H59.43 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How H59.43 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H59.43.
- Bleb›endophthalmitis
- Blebitis, postprocedural›stage 3
- Bleb›inflamed, postprocedural›stage 3
Related codes at this level
Codes that share H59.4. If H59.43 is not quite right, the correct code is usually one of these.
Questions about H59.43
- Is H59.43 a billable ICD-10-CM code?
- Yes. H59.43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H59.43 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).