ICD-10 · PDGM grouping
H59-H59 — Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
66
No clinical group
15
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
51 of the 66 codes in H59-H59 group to MMTA - Other. A further 15 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H59-H59
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H59-H59
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H59011 | Keratopathy (bullous aphakic) fol cataract surgery, r eye | A | Can lead a claim |
| H59012 | Keratopathy (bullous aphakic) fol cataract surgery, left eye | A | Can lead a claim |
| H59013 | Keratopathy (bullous aphakic) following cataract surgery, bi | A | Can lead a claim |
| H59019 | Keratopathy (bullous aphakic) fol cataract surgery, unsp eye | None | Cannot lead a claim |
| H59021 | Cataract (lens) fragmt in eye fol cataract surgery, r eye | A | Can lead a claim |
| H59022 | Cataract (lens) fragmt in eye fol cataract surgery, left eye | A | Can lead a claim |
| H59023 | Cataract (lens) fragments in eye fol cataract surgery, bi | A | Can lead a claim |
| H59029 | Cataract (lens) fragmt in eye fol cataract surgery, unsp eye | None | Cannot lead a claim |
| H59031 | Cystoid macular edema following cataract surgery, right eye | A | Can lead a claim |
| H59032 | Cystoid macular edema following cataract surgery, left eye | A | Can lead a claim |
| H59033 | Cystoid macular edema following cataract surgery, bilateral | A | Can lead a claim |
| H59039 | Cystoid macular edema following cataract surgery, unsp eye | None | Cannot lead a claim |
| H59091 | Other disorders of the right eye following cataract surgery | A | Can lead a claim |
| H59092 | Other disorders of the left eye following cataract surgery | A | Can lead a claim |
| H59093 | Oth disorders of the eye following cataract surgery, bi | A | Can lead a claim |
| H59099 | Other disorders of unsp eye following cataract surgery | None | Cannot lead a claim |
| H59111 | Intraop hemor/hemtom of r eye and adnexa comp an opth proc | A | Can lead a claim |
| H59112 | Intraop hemor/hemtom of l eye and adnexa comp an opth proc | A | Can lead a claim |
| H59113 | Intraop hemor/hemtom of eye and adnexa comp an opth proc, bi | A | Can lead a claim |
| H59119 | Intraop hemor/hemtom of unsp eye and adnx comp an opth proc | None | Cannot lead a claim |
| H59121 | Intraop hemor/hemtom of right eye and adnexa comp oth proc | A | Can lead a claim |
| H59122 | Intraop hemor/hemtom of left eye and adnexa comp oth proc | A | Can lead a claim |
| H59123 | Intraop hemor/hemtom of eye and adnexa comp oth proc, bi | A | Can lead a claim |
| H59129 | Intraop hemor/hemtom of unsp eye and adnexa comp oth proc | None | Cannot lead a claim |
| H59211 | Acc pnctr & lac of right eye and adnexa during an opth proc | A | Can lead a claim |
| H59212 | Acc pnctr & lac of left eye and adnexa during an opth proc | A | Can lead a claim |
| H59213 | Acc pnctr & lac of eye and adnexa during an opth proc, bi | A | Can lead a claim |
| H59219 | Acc pnctr & lac of unsp eye and adnexa during an opth proc | None | Cannot lead a claim |
| H59221 | Acc pnctr & lac of right eye and adnexa during oth procedure | A | Can lead a claim |
| H59222 | Acc pnctr & lac of left eye and adnexa during oth procedure | A | Can lead a claim |
| H59223 | Acc pnctr & lac of eye and adnexa during oth procedure, bi | A | Can lead a claim |
| H59229 | Acc pnctr & lac of unsp eye and adnexa during oth procedure | None | Cannot lead a claim |
| H59311 | Postproc hemor of right eye and adnexa fol an opth procedure | A | Can lead a claim |
| H59312 | Postproc hemor of left eye and adnexa fol an opth procedure | A | Can lead a claim |
| H59313 | Postproc hemor of eye and adnexa fol an opth procedure, bi | A | Can lead a claim |
| H59319 | Postproc hemor of unsp and adnexa fol an opth procedure | None | Cannot lead a claim |
| H59321 | Postproc hemor of right eye and adnexa fol other procedure | A | Can lead a claim |
| H59322 | Postproc hemor of left eye and adnexa fol other procedure | A | Can lead a claim |
| H59323 | Postproc hemor of eye and adnexa fol other procedure, bi | A | Can lead a claim |
| H59329 | Postproc hemor of unsp and adnexa following other procedure | None | Cannot lead a claim |
| H59331 | Postproc hematoma of right eye and adnexa fol an opth proc | A | Can lead a claim |
| H59332 | Postproc hematoma of left eye and adnexa fol an opth proc | A | Can lead a claim |
| H59333 | Postproc hematoma of eye and adnexa fol an opth proc, bi | A | Can lead a claim |
| H59339 | Postproc hematoma of unsp and adnexa fol an opth procedure | None | Cannot lead a claim |
| H59341 | Postproc hematoma of right eye and adnexa fol other proc | A | Can lead a claim |
| H59342 | Postproc hematoma of left eye and adnexa fol other procedure | A | Can lead a claim |
| H59343 | Postproc hematoma of eye and adnexa fol other procedure, bi | A | Can lead a claim |
| H59349 | Postproc hematoma of unsp and adnexa fol other procedure | None | Cannot lead a claim |
| H59351 | Postproc seroma of right eye and adnexa fol an opth proc | A | Can lead a claim |
| H59352 | Postproc seroma of left eye and adnexa fol an opth procedure | A | Can lead a claim |
| H59353 | Postproc seroma of eye and adnexa fol an opth procedure, bi | A | Can lead a claim |
| H59359 | Postproc seroma of unsp and adnexa fol an opth procedure | None | Cannot lead a claim |
| H59361 | Postproc seroma of right eye and adnexa fol other procedure | A | Can lead a claim |
| H59362 | Postproc seroma of left eye and adnexa fol other procedure | A | Can lead a claim |
| H59363 | Postproc seroma of eye and adnexa fol other procedure, bi | A | Can lead a claim |
| H59369 | Postproc seroma of unsp and adnexa following other procedure | None | Cannot lead a claim |
| H5940 | Inflammation (infection) of postprocedural bleb, unspecified | A | Can lead a claim |
| H5941 | Inflammation (infection) of postprocedural bleb, stage 1 | A | Can lead a claim |
| H5942 | Inflammation (infection) of postprocedural bleb, stage 2 | A | Can lead a claim |
| H5943 | Inflammation (infection) of postprocedural bleb, stage 3 | A | Can lead a claim |
| H59811 | Chorioretinal scars after surgery for detachment, right eye | A | Can lead a claim |
| H59812 | Chorioretinal scars after surgery for detachment, left eye | A | Can lead a claim |
| H59813 | Chorioretinal scars after surgery for detachment, bilateral | A | Can lead a claim |
| H59819 | Chorioretinal scars after surgery for detachment, unsp eye | None | Cannot lead a claim |
| H5988 | Oth intraoperative complications of eye and adnexa, NEC | A | Can lead a claim |
| H5989 | Oth postproc comp and disorders of eye and adnexa, NEC | A | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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