2027 ICD-10-CM Diagnosis Code H50.69Other mechanical strabismus

ICD-10-CM Codes›H00–H59›H49-H52›H50

ICD-10-CM H50.69
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H50.69 is a billable ICD-10-CM diagnosis code for other mechanical strabismus. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Strabismus.

Code Identity

ICD-10-CM Code
H50.69
Billable Status
Yes — Valid for Submission
Code Describes
Other mechanical strabismus
Short Description
Other mechanical strabismus
Same as the full description in the CMS dataset.
Parent Code
H50.6
Mechanical strabismus

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH49-H52Disorders of ocular muscles, binocular movement, accommodation and refraction
CategoryH50Other strabismus
This CodeH50.69Other mechanical strabismus

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral restrictive strabismus due to orbital fibrosis
  • Brown's tendon sheath syndrome
  • Congenital fibrosis syndrome
  • Extraocular muscle restriction
  • Fat adherence syndrome of extraocular muscle
  • Inferior rectus muscle restriction
  • Mechanical strabismus due to adhesion of extraocular muscle
  • Mechanical strabismus due to disorder of skeletal muscle caused by local anesthetic
  • Mechanical strabismus due to musculofascial disorder
  • Mechanical strabismus due to orbital pulley disorder
  • Restrictive strabismus
  • Restrictive strabismus due to Graves' disease
  • Restrictive strabismus due to orbital fibrosis
  • Restrictive strabismus of left eye due to orbital fibrosis
  • Restrictive strabismus of right eye due to orbital fibrosis
  • Sagging eye syndrome
  • Secondary mechanical strabismus
  • Strabismus due to orbital blowout fracture
  • Strabismus due to thyroid eye disease
  • Vertical retraction syndrome

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H50.69: its own notes plus those printed at block H49-H52 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Strabismus due to adhesions
  • Traumatic limitation of duction of eye muscle

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction applies to 150 codes
  • nystagmus and other irregular eye movements (H55)
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H50.69, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming H50.69: its condition is not part of those codes, and both may be reported when the patient has both.

  • H53.03 Strabismic amblyopia
    strabismus (H50.-) names H50.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE007
Strabismus
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Eye Movement Disorders

When you look at an object, you're using several muscles to move both eyes to focus on it. If you have a problem with the muscles, the eyes don't work properly.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H50.69 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
378.62 Mech strab d/t muscl dis
Approximate The match is approximate rather than exact.
ICD-9-CM
378.63 Mech strab w oth conditn
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H50.69Overview

What is the ICD-10 code for other mechanical strabismus?

The ICD-10-CM code for other mechanical strabismus is H50.69 (sometimes written as H5069). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H50.69 (Mechanical strabismus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other mechanical strabismus on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H50.69 group to?

When other mechanical strabismus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H50.69?

Under the General Equivalence Mappings, other mechanical strabismus converts to ICD-9-CM 378.62 (mech strab d/t muscl dis) and 378.63 (mech strab w oth conditn). The mapping is approximate, so confirm the match fits the documentation.