ICD-10 Code H57.9

Unspecified disorder of eye and adnexa

Version 2019 Billable Code Unacceptable Principal Diagnosis
ICD-10:H57.9
Short Description:Unspecified disorder of eye and adnexa
Long Description:Unspecified disorder of eye and adnexa

Valid for Submission

ICD-10 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 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

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.

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). The diagnosis code H57.9 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

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

Convert H57.9 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

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

Synonyms

The following clinical terms are approximate synonyms:

  • Acute disease of eye
  • Ankylosing spondylarthritis and eye lesions
  • Ankylosing spondylitis
  • Anomaly of eye
  • Cataract in inflammatory disorder
  • Cataract in inflammatory disorder
  • 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
  • Contact lens related disorder
  • Diffuse mesangial sclerosis with ocular abnormalities
  • Disorder of anterior segment of eye
  • Disorder of eye
  • Disorder of eye proper co-occurrent with human immunodeficiency virus infection
  • Disorder of eye region
  • Disorder of ocular adnexa
  • Disorder of posterior segment of 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

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:


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

  • Anisocoria (Medical Encyclopedia)
  • Choroidal dystrophies (Medical Encyclopedia)
  • Coloboma of the iris (Medical Encyclopedia)
  • Episcleritis (Medical Encyclopedia)
  • Eye and orbit ultrasound (Medical Encyclopedia)
  • Eye burning - itching and discharge (Medical Encyclopedia)
  • Eye pain (Medical Encyclopedia)
  • Eye redness (Medical Encyclopedia)
  • Fluorescein angiography (Medical Encyclopedia)
  • Fluorescein eye stain (Medical Encyclopedia)
  • Heterochromia (Medical Encyclopedia)
  • Ophthalmoscopy (Medical Encyclopedia)
  • Orbit CT scan (Medical Encyclopedia)
  • Orbital pseudotumor (Medical Encyclopedia)
  • Photophobia (Medical Encyclopedia)
  • Pinguecula (Medical Encyclopedia)
  • Pterygium (Medical Encyclopedia)
  • Pupil - white spots (Medical Encyclopedia)
  • Scleritis (Medical Encyclopedia)
  • Slit-lamp exam (Medical Encyclopedia)
  • Standard ophthalmic exam (Medical Encyclopedia)
  • Subconjunctival hemorrhage (Medical Encyclopedia)
  • Uveitis (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.