2027 ICD-10-CM Diagnosis Code H59.221Accidental puncture and laceration of right eye and adnexa during other procedure

ICD-10-CM Codes›H00–H59›H59›H59

ICD-10-CM H59.221
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H59.221 is a billable ICD-10-CM diagnosis code for accidental puncture and laceration of right eye and adnexa during other procedure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 919 through 921. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 78 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative eye complication.

Code Identity

ICD-10-CM Code
H59.221
Billable Status
Yes — Valid for Submission
Code Describes
Accidental puncture and laceration of right eye and adnexa during other procedure
Short Description
Acc pnctr & lac of right eye and adnexa during oth procedure
Parent Code
H59.22
Accidental puncture and laceration of eye and adnexa during other procedure

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
CategoryH59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
This CodeH59.221Accidental puncture and laceration of right eye and adnexa during other procedure

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H59.221: its own notes plus those printed at H59 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified applies to 66 codes
  • mechanical complication of intraocular lens (T85.2)
  • mechanical complication of other ocular prosthetic devices, implants and grafts (T85.3)
  • pseudophakia (Z96.1)
  • secondary cataracts (H26.4-)

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 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 H59.221, its category, or a range that includes it.

Applicable To 1

These notes mention H59.221.

  • Z83.51 Family history of eye disorders
    Conditions classifiable to H00-H53, H55-H59 names H55-H59, which includes this code

Excludes1 1

These codes carry an Excludes1 note naming H59.221: they are not reported together with it, unless the two conditions are unrelated.

  • H59.1 Intraoperative hemorrhage and hematoma of eye and adnexa complicating a procedure
    intraoperative hemorrhage and hematoma of eye and adnexa due to accidental puncture or laceration during a procedure (H59.2-) names H59.2-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming H59.221: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block T80-T88 Complications of surgical and medical care, not elsewhere classified
    intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) names H59.-, which includes this code
  • T81 Complications of procedures, not elsewhere classified
    intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-) names H59.-, which includes this code

Clinical ClassificationClinical

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

CCSR EYE011
Postprocedural or postoperative eye complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert H59.221 to ICD-9-CMHistory

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

ICD-9-CM
998.2 Accidental op laceration
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 H59.221Overview

Is H59.221 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report accidental puncture and laceration of right eye and adnexa during other procedure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H59.221 group to?

When accidental puncture and laceration of right eye and adnexa during other procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 920, 919, 921, with relative weights from 0.6719 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is H59.221 a CC or MCC?

CMS lists H59.221 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 78 closely related codes in its exclusion list.

Can H59.221 be reported with T85.2?

Not as a rule. The Excludes1 note at H59, which applies to H59.221, lists "mechanical complication of intraocular lens (T85.2)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H59.221?

Under the General Equivalence Mappings, accidental puncture and laceration of right eye and adnexa during other procedure converts to ICD-9-CM 998.2 (accidental op laceration). The mapping is approximate, so confirm the match fits the documentation.