2026 ICD-10-CM Diagnosis Code H59.813Chorioretinal scars after surgery for detachment, bilateral

ICD-10-CM Codes›H00–H59›H59›H59

ICD-10-CM H59.813
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H59.813 is a billable ICD-10-CM diagnosis code for chorioretinal scars after surgery for detachment, bilateral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. Coders also document this condition as bilateral chorioretinal scar of eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative eye complication.

Code Identity

ICD-10-CM Code
H59.813
Billable Status
Yes — Valid for Submission
Code Describes
Chorioretinal scars after surgery for detachment, bilateral
Short Description
Chorioretinal scars after surgery for detachment, bilateral
Same as the full description in the CMS dataset.
Parent Code
H59.81
Chorioretinal scars after surgery for detachment

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 CodeH59.813Chorioretinal scars after surgery for detachment, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral chorioretinal scar of eyes
  • Bilateral postsurgical chorioretinal scar
  • Chorioretinal scar of left eye
  • Chorioretinal scar of right eye
  • Left postsurgical chorioretinal scar
  • Postsurgical chorioretinal scar
  • Postsurgical choroid scar
  • Postsurgical retinal scar
  • Right postsurgical chorioretinal scar

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 H59.813 to ICD-9-CMHistory

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

ICD-9-CM
997.99 Surg compl-body syst 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 H59.813Overview

Is H59.813 (Chorioretinal scars after surgery for detachment) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chorioretinal scars after surgery for detachment, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H59.813 group to?

When chorioretinal scars after surgery for detachment, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H59.813?

Under the General Equivalence Mappings, chorioretinal scars after surgery for detachment, bilateral converts to ICD-9-CM 997.99 (surg compl-body syst 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.