Version 2024

2024 ICD-10-CM Diagnosis Code H05.4

Enophthalmos

ICD-10-CM Code:
H05.4
ICD-10 Code for:
Enophthalmos
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the eye and adnexa
    (H00–H59)
    • Disorders of eyelid, lacrimal system and orbit
      (H00-H05)
      • Disorders of orbit
        (H05)

H05.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of enophthalmos. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Enophthalmos

Non-specific codes like H05.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for enophthalmos:

  • H05.40 for Unspecified enophthalmos - NON-BILLABLE CODE

  • Use H05.401 for Unspecified enophthalmos, right eye - BILLABLE CODE

  • Use H05.402 for Unspecified enophthalmos, left eye - BILLABLE CODE

  • Use H05.403 for Unspecified enophthalmos, bilateral - BILLABLE CODE

  • Use H05.409 for Unspecified enophthalmos, unspecified eye - BILLABLE CODE

  • H05.41 for Enophthalmos due to atrophy of orbital tissue - NON-BILLABLE CODE

  • Use H05.411 for Enophthalmos due to atrophy of orbital tissue, right eye - BILLABLE CODE

  • Use H05.412 for Enophthalmos due to atrophy of orbital tissue, left eye - BILLABLE CODE

  • Use H05.413 for Enophthalmos due to atrophy of orbital tissue, bilateral - BILLABLE CODE

  • Use H05.419 for Enophthalmos due to atrophy of orbital tissue, unspecified eye - BILLABLE CODE

  • H05.42 for Enophthalmos due to trauma or surgery - NON-BILLABLE CODE

  • Use H05.421 for Enophthalmos due to trauma or surgery, right eye - BILLABLE CODE

  • Use H05.422 for Enophthalmos due to trauma or surgery, left eye - BILLABLE CODE

  • Use H05.423 for Enophthalmos due to trauma or surgery, bilateral - BILLABLE CODE

  • Use H05.429 for Enophthalmos due to trauma or surgery, unspecified eye - BILLABLE CODE

Clinical Information

  • Enophthalmos

    recession of the eyeball into the orbit.

Patient Education


Eye Diseases

Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.

Common eye problems include:

  • Refractive errors
  • Cataracts - clouded lenses
  • Optic nerve disorders, including glaucoma
  • Retinal disorders - problems with the nerve layer at the back of the eye
  • Macular degeneration - a disease that destroys sharp, central vision
  • Diabetic eye problems
  • Conjunctivitis - an infection also known as pink eye

Your best defense is to have regular checkups, because eye diseases do not always have symptoms. Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation.

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.