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2025 ICD-10-CM code H59

Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified.

Use additional codes (e.g., external cause codes) to provide further detail about the cause or circumstances of the complication.Be sure to select the most specific code available within the H59 category.

Medical necessity must be established by demonstrating that the complication or disorder is a direct result of the procedure and requires further intervention or management.

The clinician is responsible for documenting the specific complication or disorder,the procedure that caused it, and the impact on the patient's vision and overall health.

IMPORTANT:Excludes1: 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-)

In simple words: This code is used when there are problems with the eye or surrounding tissues during or after a medical procedure, that aren't covered by a more specific code.

This code encompasses complications and disorders of the eye and adnexa that arise during or after a surgical procedure or other medical intervention, and are not classified elsewhere in the ICD-10-CM.

Example 1: A patient develops excessive bleeding (intraoperative hemorrhage) during cataract surgery., A patient experiences persistent inflammation of the cornea (postoperative keratitis) following refractive surgery., A patient develops double vision (diplopia) after strabismus surgery.

Documentation should clearly link the complication to the procedure, describe the specific nature of the problem, and include details about its severity, treatment, and prognosis.Operative reports, clinical notes, and diagnostic imaging studies can be used to support the diagnosis.

** This code requires a fourth digit to specify the type of complication or disorder.Refer to the ICD-10-CM manual for a complete list of valid subcategories under H59.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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