ICD-10 · PDGM grouping
H05 Disorders of orbit
All 102 codes in the H05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
102
Can lead a claim
76
Cannot lead a claim
26
What CMS assigns to H05
76 of the 102 codes group to MMTA - Other; 26 are assigned no clinical group. None of the 102 is assigned a comorbidity subgroup. 76 of the 102 can lead a claim.
Every code in H05
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H05.0 Acute inflammation of orbit | ||||
| H05.00 | Unspecified acute inflammation of orbit | Can lead a claim | A | None |
| H05.01 Cellulitis of orbit | ||||
| H05.011 | Cellulitis of right orbit | Can lead a claim | A | None |
| H05.012 | Cellulitis of left orbit | Can lead a claim | A | None |
| H05.013 | Cellulitis of bilateral orbits | Can lead a claim | A | None |
| H05.019 | Cellulitis of unspecified orbit | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H05.02 Osteomyelitis of orbit | ||||
| H05.021 | Osteomyelitis of right orbit | Can lead a claim | A | None |
| H05.022 | Osteomyelitis of left orbit | Can lead a claim | A | None |
| H05.023 | Osteomyelitis of bilateral orbits | Can lead a claim | A | None |
| H05.029 | Osteomyelitis of unspecified orbit | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H05.03 Periostitis of orbit | ||||
| H05.031 | Periostitis of right orbit | Can lead a claim | A | None |
| H05.032 | Periostitis of left orbit | Can lead a claim | A | None |
| H05.033 | Periostitis of bilateral orbits | Can lead a claim | A | None |
| H05.039 | Periostitis of unspecified orbit | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H05.04 Tenonitis of orbit | ||||
| H05.041 | Tenonitis of right orbit | Can lead a claim | A | None |
| H05.042 | Tenonitis of left orbit | Can lead a claim | A | None |
| H05.043 | Tenonitis of bilateral orbits | Can lead a claim | A | None |
| H05.049 | Tenonitis of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.1 Chronic inflammatory disorders of orbit | ||||
| H05.10 | Unspecified chronic inflammatory disorders of orbit | Can lead a claim | A | None |
| H05.11 Granuloma of orbit | ||||
| H05.111 | Granuloma of right orbit | Can lead a claim | A | None |
| H05.112 | Granuloma of left orbit | Can lead a claim | A | None |
| H05.113 | Granuloma of bilateral orbits | Can lead a claim | A | None |
| H05.119 | Granuloma of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.12 Orbital myositis | ||||
| H05.121 | Orbital myositis, right orbit | Can lead a claim | A | None |
| H05.122 | Orbital myositis, left orbit | Can lead a claim | A | None |
| H05.123 | Orbital myositis, bilateral | Can lead a claim | A | None |
| H05.129 | Orbital myositis, unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.2 Exophthalmic conditions | ||||
| H05.20 | Unspecified exophthalmos | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.21 Displacement (lateral) of globe | ||||
| H05.211 | Displacement (lateral) of globe, right eye | Can lead a claim | A | None |
| H05.212 | Displacement (lateral) of globe, left eye | Can lead a claim | A | None |
| H05.213 | Displacement (lateral) of globe, bilateral | Can lead a claim | A | None |
| H05.219 | Displacement (lateral) of globe, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.22 Edema of orbit | ||||
| H05.221 | Edema of right orbit | Can lead a claim | A | None |
| H05.222 | Edema of left orbit | Can lead a claim | A | None |
| H05.223 | Edema of bilateral orbit | Can lead a claim | A | None |
| H05.229 | Edema of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.23 Hemorrhage of orbit | ||||
| H05.231 | Hemorrhage of right orbit | Can lead a claim | A | None |
| H05.232 | Hemorrhage of left orbit | Can lead a claim | A | None |
| H05.233 | Hemorrhage of bilateral orbit | Can lead a claim | A | None |
| H05.239 | Hemorrhage of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.24 Constant exophthalmos | ||||
| H05.241 | Constant exophthalmos, right eye | Can lead a claim | A | None |
| H05.242 | Constant exophthalmos, left eye | Can lead a claim | A | None |
| H05.243 | Constant exophthalmos, bilateral | Can lead a claim | A | None |
| H05.249 | Constant exophthalmos, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.25 Intermittent exophthalmos | ||||
| H05.251 | Intermittent exophthalmos, right eye | Can lead a claim | A | None |
| H05.252 | Intermittent exophthalmos, left eye | Can lead a claim | A | None |
| H05.253 | Intermittent exophthalmos, bilateral | Can lead a claim | A | None |
| H05.259 | Intermittent exophthalmos, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.26 Pulsating exophthalmos | ||||
| H05.261 | Pulsating exophthalmos, right eye | Can lead a claim | A | None |
| H05.262 | Pulsating exophthalmos, left eye | Can lead a claim | A | None |
| H05.263 | Pulsating exophthalmos, bilateral | Can lead a claim | A | None |
| H05.269 | Pulsating exophthalmos, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.3 Deformity of orbit | ||||
| H05.30 | Unspecified deformity of orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.31 Atrophy of orbit | ||||
| H05.311 | Atrophy of right orbit | Can lead a claim | A | None |
| H05.312 | Atrophy of left orbit | Can lead a claim | A | None |
| H05.313 | Atrophy of bilateral orbit | Can lead a claim | A | None |
| H05.319 | Atrophy of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.32 Deformity of orbit due to bone disease | ||||
| H05.321 | Deformity of right orbit due to bone disease | Can lead a claim | A | None |
| H05.322 | Deformity of left orbit due to bone disease | Can lead a claim | A | None |
| H05.323 | Deformity of bilateral orbits due to bone disease | Can lead a claim | A | None |
| H05.329 | Deformity of unspecified orbit due to bone disease | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.33 Deformity of orbit due to trauma or surgery | ||||
| H05.331 | Deformity of right orbit due to trauma or surgery | Can lead a claim | A | None |
| H05.332 | Deformity of left orbit due to trauma or surgery | Can lead a claim | A | None |
| H05.333 | Deformity of bilateral orbits due to trauma or surgery | Can lead a claim | A | None |
| H05.339 | Deformity of unspecified orbit due to trauma or surgery | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.34 Enlargement of orbit | ||||
| H05.341 | Enlargement of right orbit | Can lead a claim | A | None |
| H05.342 | Enlargement of left orbit | Can lead a claim | A | None |
| H05.343 | Enlargement of bilateral orbits | Can lead a claim | A | None |
| H05.349 | Enlargement of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.35 Exostosis of orbit | ||||
| H05.351 | Exostosis of right orbit | Can lead a claim | A | None |
| H05.352 | Exostosis of left orbit | Can lead a claim | A | None |
| H05.353 | Exostosis of bilateral orbits | Can lead a claim | A | None |
| H05.359 | Exostosis of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.4 Enophthalmos | ||||
| H05.40 Unspecified enophthalmos | ||||
| H05.401 | Unspecified enophthalmos, right eye | Can lead a claim | A | None |
| H05.402 | Unspecified enophthalmos, left eye | Can lead a claim | A | None |
| H05.403 | Unspecified enophthalmos, bilateral | Can lead a claim | A | None |
| H05.409 | Unspecified enophthalmos, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.41 Enophthalmos due to atrophy of orbital tissue | ||||
| H05.411 | Enophthalmos due to atrophy of orbital tissue, right eye | Can lead a claim | A | None |
| H05.412 | Enophthalmos due to atrophy of orbital tissue, left eye | Can lead a claim | A | None |
| H05.413 | Enophthalmos due to atrophy of orbital tissue, bilateral | Can lead a claim | A | None |
| H05.419 | Enophthalmos due to atrophy of orbital tissue, unspecified eyeCMS: Enophthalmos due to atrophy of orbital tissue, unsp eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.42 Enophthalmos due to trauma or surgery | ||||
| H05.421 | Enophthalmos due to trauma or surgery, right eye | Can lead a claim | A | None |
| H05.422 | Enophthalmos due to trauma or surgery, left eye | Can lead a claim | A | None |
| H05.423 | Enophthalmos due to trauma or surgery, bilateral | Can lead a claim | A | None |
| H05.429 | Enophthalmos due to trauma or surgery, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.5 Retained (old) foreign body following penetrating wound of orbit | ||||
| H05.50 | Retained (old) foreign body following penetrating wound of unspecified orbitCMS: Retained (old) fb following penetrating wound of unsp orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.51 | Retained (old) foreign body following penetrating wound of right orbitCMS: Retained (old) fb following penetrating wound of right orbit | Can lead a claim | A | None |
| H05.52 | Retained (old) foreign body following penetrating wound of left orbitCMS: Retained (old) fb following penetrating wound of left orbit | Can lead a claim | A | None |
| H05.53 | Retained (old) foreign body following penetrating wound of bilateral orbitsCMS: Retained (old) fb following penetrating wound of bi orbit | Can lead a claim | A | None |
| H05.8 Other disorders of orbit | ||||
| H05.81 Cyst of orbit | ||||
| H05.811 | Cyst of right orbit | Can lead a claim | A | None |
| H05.812 | Cyst of left orbit | Can lead a claim | A | None |
| H05.813 | Cyst of bilateral orbits | Can lead a claim | A | None |
| H05.819 | Cyst of unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.82 Myopathy of extraocular muscles | ||||
| H05.821 | Myopathy of extraocular muscles, right orbit | Can lead a claim | A | None |
| H05.822 | Myopathy of extraocular muscles, left orbit | Can lead a claim | A | None |
| H05.823 | Myopathy of extraocular muscles, bilateral | Can lead a claim | A | None |
| H05.829 | Myopathy of extraocular muscles, unspecified orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H05.83 Thyroid orbitopathy | ||||
| H05.831 | Thyroid orbitopathy, right orbit | Can lead a claim | A | None |
| H05.832 | Thyroid orbitopathy, left orbit | Can lead a claim | A | None |
| H05.833 | Thyroid orbitopathy, bilateral | Can lead a claim | A | None |
| H05.839 | Thyroid orbitopathy, unspecified orbit | Can lead a claim | A | None |
| H05.89 | Other disorders of orbit | Can lead a claim | A | None |
| H05.9 | Unspecified disorder of orbit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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