ICD-10 · PDGM grouping
H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
All 66 codes in the H59 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
66
Can lead a claim
51
Cannot lead a claim
15
What CMS assigns to H59
51 of the 66 codes group to MMTA - Other; 15 are assigned no clinical group. None of the 66 is assigned a comorbidity subgroup. 51 of the 66 can lead a claim.
Every code in H59
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 |
|---|---|---|---|---|
| H59.0 Disorders of the eye following cataract surgery | ||||
| H59.01 Keratopathy (bullous aphakic) following cataract surgery | ||||
| H59.011 | Keratopathy (bullous aphakic) following cataract surgery, right eyeCMS: Keratopathy (bullous aphakic) fol cataract surgery, r eye | Can lead a claim | A | None |
| H59.012 | Keratopathy (bullous aphakic) following cataract surgery, left eyeCMS: Keratopathy (bullous aphakic) fol cataract surgery, left eye | Can lead a claim | A | None |
| H59.013 | Keratopathy (bullous aphakic) following cataract surgery, bilateralCMS: Keratopathy (bullous aphakic) following cataract surgery, bi | Can lead a claim | A | None |
| H59.019 | Keratopathy (bullous aphakic) following cataract surgery, unspecified eyeCMS: Keratopathy (bullous aphakic) fol cataract surgery, unsp eye | 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 |
| H59.02 Cataract (lens) fragments in eye following cataract surgery | ||||
| H59.021 | Cataract (lens) fragments in eye following cataract surgery, right eyeCMS: Cataract (lens) fragmt in eye fol cataract surgery, r eye | Can lead a claim | A | None |
| H59.022 | Cataract (lens) fragments in eye following cataract surgery, left eyeCMS: Cataract (lens) fragmt in eye fol cataract surgery, left eye | Can lead a claim | A | None |
| H59.023 | Cataract (lens) fragments in eye following cataract surgery, bilateralCMS: Cataract (lens) fragments in eye fol cataract surgery, bi | Can lead a claim | A | None |
| H59.029 | Cataract (lens) fragments in eye following cataract surgery, unspecified eyeCMS: Cataract (lens) fragmt in eye fol cataract surgery, unsp eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H59.03 Cystoid macular edema following cataract surgery | ||||
| H59.031 | Cystoid macular edema following cataract surgery, right eye | Can lead a claim | A | None |
| H59.032 | Cystoid macular edema following cataract surgery, left eye | Can lead a claim | A | None |
| H59.033 | Cystoid macular edema following cataract surgery, bilateral | Can lead a claim | A | None |
| H59.039 | Cystoid macular edema following cataract surgery, unspecified eyeCMS: Cystoid macular edema following cataract surgery, unsp eye | 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 |
| H59.09 Other disorders of the eye following cataract surgery | ||||
| H59.091 | Other disorders of the right eye following cataract surgery | Can lead a claim | A | None |
| H59.092 | Other disorders of the left eye following cataract surgery | Can lead a claim | A | None |
| H59.093 | Other disorders of the eye following cataract surgery, bilateralCMS: Oth disorders of the eye following cataract surgery, bi | Can lead a claim | A | None |
| H59.099 | Other disorders of unspecified eye following cataract surgeryCMS: Other disorders of unsp eye following cataract surgery | 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 |
| H59.1 Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure | ||||
| H59.11 Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure | ||||
| H59.111 | Intraoperative hemorrhage and hematoma of right eye and adnexa complicating an ophthalmic procedureCMS: Intraop hemor/hemtom of r eye and adnexa comp an opth proc | Can lead a claim | A | None |
| H59.112 | Intraoperative hemorrhage and hematoma of left eye and adnexa complicating an ophthalmic procedureCMS: Intraop hemor/hemtom of l eye and adnexa comp an opth proc | Can lead a claim | A | None |
| H59.113 | Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateralCMS: Intraop hemor/hemtom of eye and adnexa comp an opth proc, bi | Can lead a claim | A | None |
| H59.119 | Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating an ophthalmic procedureCMS: Intraop hemor/hemtom of unsp eye and adnx comp an opth proc | 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 |
| H59.12 Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure | ||||
| H59.121 | Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedureCMS: Intraop hemor/hemtom of right eye and adnexa comp oth proc | Can lead a claim | A | None |
| H59.122 | Intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedureCMS: Intraop hemor/hemtom of left eye and adnexa comp oth proc | Can lead a claim | A | None |
| H59.123 | Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateralCMS: Intraop hemor/hemtom of eye and adnexa comp oth proc, bi | Can lead a claim | A | None |
| H59.129 | Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedureCMS: Intraop hemor/hemtom of unsp eye and adnexa comp oth proc | 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 |
| H59.2 Accidental puncture and laceration of eye and adnexa during a procedure | ||||
| H59.21 Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure | ||||
| H59.211 | Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedureCMS: Acc pnctr & lac of right eye and adnexa during an opth proc | Can lead a claim | A | None |
| H59.212 | Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedureCMS: Acc pnctr & lac of left eye and adnexa during an opth proc | Can lead a claim | A | None |
| H59.213 | Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure, bilateralCMS: Acc pnctr & lac of eye and adnexa during an opth proc, bi | Can lead a claim | A | None |
| H59.219 | Accidental puncture and laceration of unspecified eye and adnexa during an ophthalmic procedureCMS: Acc pnctr & lac of unsp eye and adnexa during an opth proc | 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 |
| H59.22 Accidental puncture and laceration of eye and adnexa during other procedure | ||||
| H59.221 | Accidental puncture and laceration of right eye and adnexa during other procedureCMS: Acc pnctr & lac of right eye and adnexa during oth procedure | Can lead a claim | A | None |
| H59.222 | Accidental puncture and laceration of left eye and adnexa during other procedureCMS: Acc pnctr & lac of left eye and adnexa during oth procedure | Can lead a claim | A | None |
| H59.223 | Accidental puncture and laceration of eye and adnexa during other procedure, bilateralCMS: Acc pnctr & lac of eye and adnexa during oth procedure, bi | Can lead a claim | A | None |
| H59.229 | Accidental puncture and laceration of unspecified eye and adnexa during other procedureCMS: Acc pnctr & lac of unsp eye and adnexa during oth procedure | 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 |
| H59.3 Postprocedural hemorrhage, hematoma, and seroma of eye and adnexa following a procedure | ||||
| H59.31 Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure | ||||
| H59.311 | Postprocedural hemorrhage of right eye and adnexa following an ophthalmic procedureCMS: Postproc hemor of right eye and adnexa fol an opth procedure | Can lead a claim | A | None |
| H59.312 | Postprocedural hemorrhage of left eye and adnexa following an ophthalmic procedureCMS: Postproc hemor of left eye and adnexa fol an opth procedure | Can lead a claim | A | None |
| H59.313 | Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure, bilateralCMS: Postproc hemor of eye and adnexa fol an opth procedure, bi | Can lead a claim | A | None |
| H59.319 | Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedureCMS: Postproc hemor of unsp and adnexa fol an opth procedure | 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 |
| H59.32 Postprocedural hemorrhage of eye and adnexa following other procedure | ||||
| H59.321 | Postprocedural hemorrhage of right eye and adnexa following other procedureCMS: Postproc hemor of right eye and adnexa fol other procedure | Can lead a claim | A | None |
| H59.322 | Postprocedural hemorrhage of left eye and adnexa following other procedureCMS: Postproc hemor of left eye and adnexa fol other procedure | Can lead a claim | A | None |
| H59.323 | Postprocedural hemorrhage of eye and adnexa following other procedure, bilateralCMS: Postproc hemor of eye and adnexa fol other procedure, bi | Can lead a claim | A | None |
| H59.329 | Postprocedural hemorrhage of unspecified eye and adnexa following other procedureCMS: Postproc hemor of unsp and adnexa following other procedure | 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 |
| H59.33 Postprocedural hematoma of eye and adnexa following an ophthalmic procedure | ||||
| H59.331 | Postprocedural hematoma of right eye and adnexa following an ophthalmic procedureCMS: Postproc hematoma of right eye and adnexa fol an opth proc | Can lead a claim | A | None |
| H59.332 | Postprocedural hematoma of left eye and adnexa following an ophthalmic procedureCMS: Postproc hematoma of left eye and adnexa fol an opth proc | Can lead a claim | A | None |
| H59.333 | Postprocedural hematoma of eye and adnexa following an ophthalmic procedure, bilateralCMS: Postproc hematoma of eye and adnexa fol an opth proc, bi | Can lead a claim | A | None |
| H59.339 | Postprocedural hematoma of unspecified eye and adnexa following an ophthalmic procedureCMS: Postproc hematoma of unsp and adnexa fol an opth procedure | 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 |
| H59.34 Postprocedural hematoma of eye and adnexa following other procedure | ||||
| H59.341 | Postprocedural hematoma of right eye and adnexa following other procedureCMS: Postproc hematoma of right eye and adnexa fol other proc | Can lead a claim | A | None |
| H59.342 | Postprocedural hematoma of left eye and adnexa following other procedureCMS: Postproc hematoma of left eye and adnexa fol other procedure | Can lead a claim | A | None |
| H59.343 | Postprocedural hematoma of eye and adnexa following other procedure, bilateralCMS: Postproc hematoma of eye and adnexa fol other procedure, bi | Can lead a claim | A | None |
| H59.349 | Postprocedural hematoma of unspecified eye and adnexa following other procedureCMS: Postproc hematoma of unsp and adnexa fol other procedure | 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 |
| H59.35 Postprocedural seroma of eye and adnexa following an ophthalmic procedure | ||||
| H59.351 | Postprocedural seroma of right eye and adnexa following an ophthalmic procedureCMS: Postproc seroma of right eye and adnexa fol an opth proc | Can lead a claim | A | None |
| H59.352 | Postprocedural seroma of left eye and adnexa following an ophthalmic procedureCMS: Postproc seroma of left eye and adnexa fol an opth procedure | Can lead a claim | A | None |
| H59.353 | Postprocedural seroma of eye and adnexa following an ophthalmic procedure, bilateralCMS: Postproc seroma of eye and adnexa fol an opth procedure, bi | Can lead a claim | A | None |
| H59.359 | Postprocedural seroma of unspecified eye and adnexa following an ophthalmic procedureCMS: Postproc seroma of unsp and adnexa fol an opth procedure | 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 |
| H59.36 Postprocedural seroma of eye and adnexa following other procedure | ||||
| H59.361 | Postprocedural seroma of right eye and adnexa following other procedureCMS: Postproc seroma of right eye and adnexa fol other procedure | Can lead a claim | A | None |
| H59.362 | Postprocedural seroma of left eye and adnexa following other procedureCMS: Postproc seroma of left eye and adnexa fol other procedure | Can lead a claim | A | None |
| H59.363 | Postprocedural seroma of eye and adnexa following other procedure, bilateralCMS: Postproc seroma of eye and adnexa fol other procedure, bi | Can lead a claim | A | None |
| H59.369 | Postprocedural seroma of unspecified eye and adnexa following other procedureCMS: Postproc seroma of unsp and adnexa following other procedure | 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 |
| H59.4 Inflammation (infection) of postprocedural bleb | ||||
| H59.40 | Inflammation (infection) of postprocedural bleb, unspecified | Can lead a claim | A | None |
| H59.41 | Inflammation (infection) of postprocedural bleb, stage 1 | Can lead a claim | A | None |
| H59.42 | Inflammation (infection) of postprocedural bleb, stage 2 | Can lead a claim | A | None |
| H59.43 | Inflammation (infection) of postprocedural bleb, stage 3 | Can lead a claim | A | None |
| H59.8 Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified | ||||
| H59.81 Chorioretinal scars after surgery for detachment | ||||
| H59.811 | Chorioretinal scars after surgery for detachment, right eye | Can lead a claim | A | None |
| H59.812 | Chorioretinal scars after surgery for detachment, left eye | Can lead a claim | A | None |
| H59.813 | Chorioretinal scars after surgery for detachment, bilateral | Can lead a claim | A | None |
| H59.819 | Chorioretinal scars after surgery for detachment, unspecified eyeCMS: Chorioretinal scars after surgery for detachment, unsp eye | 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 |
| H59.88 | Other intraoperative complications of eye and adnexa, not elsewhere classifiedCMS: Oth intraoperative complications of eye and adnexa, NEC | Can lead a claim | A | None |
| H59.89 | Other postprocedural complications and disorders of eye and adnexa, not elsewhere classifiedCMS: Oth postproc comp and disorders of eye and adnexa, NEC | Can lead a claim | A | 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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