H59
H59 — Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Non-billable headerICD-10-CM
H59 is a non-billable header ICD-10-CM code for intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with H59
These codes carry an Excludes1 note pointing at H59. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H59 alone.
- Z98.83Filtering (vitreous) bleb after glaucoma surgery status
- H31.01Macula scars of posterior pole (postinflammatory) (post-traumatic)
- H33.3Retinal breaks without detachment
- H35.35Cystoid macular degeneration
- H43.0Vitreous prolapse
- H44.0Purulent endophthalmitis
- H44.1Other endophthalmitis
- H59.1Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
Risk adjustment
H59 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
6 child codes. Green means billable.
- H59.0Disorders of the eye following cataract surgery
- H59.1Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
- H59.2Accidental puncture and laceration of eye and adnexa during a procedure
- H59.3Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure
- H59.4Inflammation (infection) of postprocedural bleb
- H59.8Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Questions about H59
- Is H59 a billable ICD-10-CM code?
- No. H59 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H59 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).
- What cannot be coded together with H59?
- H59 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.