2026 ICD-10-CM Diagnosis Code H52.6Other disorders of refraction

ICD-10-CM CodesH00–H59H49-H52H52

ICD-10-CM H52.6
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H52.6 is a billable ICD-10-CM diagnosis code for other disorders of refraction. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as accommodative excess. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Refractive error.

Code Identity

ICD-10-CM Code
H52.6
Billable Status
Yes — Valid for Submission
Code Describes
Other disorders of refraction
Short Description
Other disorders of refraction
Same as the full description in the CMS dataset.
Parent Code
Disorders of refraction and accommodation

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH49-H52Disorders of ocular muscles, binocular movement, accommodation and refraction
CategoryH52Disorders of refraction and accommodation
This CodeH52.6Other disorders of refraction

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Accommodative excess
  • Accommodative fatigue
  • Anisophoria
  • Drug-induced disorder of refraction AND/OR accommodation
  • Image jump
  • Ocular accommodation - finding
  • Over-accommodation
  • Toxic disorder of refraction AND/OR accommodation
  • Transient refractive change

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • refraction
        • specified NEC

Clinical ClassificationClinical

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

CCSR EYE009
Refractive error
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 H52.6 to ICD-9-CMHistory

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

ICD-9-CM
367.89 Refraction disorder NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H52.6Overview

Is H52.6 (Disorders of refraction and accommodation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other disorders of refraction on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H52.6 group to?

When other disorders of refraction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H52.6?

Under the General Equivalence Mappings, other disorders of refraction converts to ICD-9-CM 367.89 (refraction disorder NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.