ICD-10-CM Code H57.9

Unspecified disorder of eye and adnexa

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

H57.9 is a billable code used to specify a medical diagnosis of unspecified disorder of eye and adnexa. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code H57.9 might also be used to specify conditions or terms like acute disease of eye, anomaly of eye, cataract of bilateral eyes due to inflammatory disorder, cataract of left eye due ocular disease, cataract of left eye due to inflammatory disorder, cataract of right eye due to inflammatory disorder, etc

The code H57.9 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:H57.9
Short Description:Unspecified disorder of eye and adnexa
Long Description:Unspecified disorder of eye and adnexa

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H57.9 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute disease of eye
  • Anomaly of eye
  • Cataract of bilateral eyes due to inflammatory disorder
  • Cataract of left eye due ocular disease
  • Cataract of left eye due to inflammatory disorder
  • Cataract of right eye due to inflammatory disorder
  • Cataract of right eye due to ocular disease
  • Cataract secondary to ocular disease
  • Cataract secondary to ocular disease
  • Chronic disease of ocular adnexa
  • Diffuse mesangial sclerosis with ocular abnormalities
  • Disorder of anterior segment of eye
  • Disorder of bilateral eyes
  • Disorder of eye
  • Disorder of eye proper co-occurrent with human immunodeficiency virus infection
  • Disorder of eye region
  • Disorder of left eye
  • Disorder of ocular adnexa
  • Disorder of posterior segment of eye
  • Disorder of right eye
  • Eye not working properly
  • Eye symptom
  • Glaucoma due to ocular vascular disorder
  • Glaucoma of bilateral eyes due to ocular vascular disorder
  • Glaucoma of left eye due to ocular vascular disorder
  • Glaucoma of right eye due to ocular vascular disorder
  • Hereditary disorder of the visual system
  • Ill-defined disorder of eye
  • Lesion of eye structure
  • Limited duction associated with other condition of eye
  • Neonatal ophthalmologic disorder
  • Ophthalmological treatment changed
  • Ophthalmological treatment started
  • Restrictive ophthalmopathy
  • Thyroid eye disease
  • Visual system complication of procedure
  • Visual system disorder

Diagnostic Related Groups

The ICD-10 code H57.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H57.9 to ICD-9

  • 379.40 - Abn pupil function NOS (Approximate Flag)
  • 379.90 - Eye disorder NOS (Approximate Flag)
  • V41.1 - Eye problems NEC (Approximate Flag)

Code Classification

  • Diseases of the eye and adnexa (H00–H59)
    • Other disorders of eye and adnexa (H55-H57)
      • Other disorders of eye and adnexa (H57)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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 pinkeye

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]