Use Additional Code Notes in Chapter 7: Diseases of the eye and adnexa ICD-10-CM
A Use Additional Code note means a second code should be added, after this one, to fully describe the condition. In Chapter 7 (H00-H59), notes printed in the chapter name other codes 13 times, and Use Additional Code Notes anywhere in the Tabular List name the chapter’s codes 27 times, covering 20 distinct codes, categories and ranges. Switch views to read the list either way.
Use Additional Code Notes by the code that carries the note
- code to identify the type of retained foreign body (Z18.-)
- code to identify the type of retained foreign body (Z18.-)
- code for any associated cataract (H26.21-)
- H21.81 Floppy iris syndrome
- code for any associated choroid disorders (H31.-)
- code to identify the retinal detachment (H33.-)
- code to identify magnetic foreign body (Z18.11)
- L51 Erythema multiforme: inflammation of eyelid (H01.8-)
- L51 Erythema multiforme: mechanical lagophthalmos (H02.22-)
- L51 Erythema multiforme: edema of eyelid (H02.84-)
- L51 Erythema multiforme: conjunctivitis (H10.22-)
- L51 Erythema multiforme: symblepharon (H11.23-)
- L51 Erythema multiforme: conjunctival edema (H11.42)
- L51 Erythema multiforme: corneal ulcer (H16.0-)
- L51 Erythema multiforme: keratoconjunctivitis sicca (H16.22-)
- L51 Erythema multiforme: corneal scars and opacities (H17.-)
- H22 Disorders of iris and ciliary body in diseases classified elsewhere
- H20.1 Chronic iridocyclitis: code for any associated cataract (H26.21-)
- H44.2A Degenerative myopia with choroidal neovascularization: code for any associated choroid disorders (H31.-)
- H32 Chorioretinal disorders in diseases classified elsewhere
- B39 Histoplasmosis: retinitis (H32)
- H44.2C Degenerative myopia with retinal detachment: code to identify the retinal detachment (H33.-)
- Q87.88 CTNNB1 syndrome: exudative retinopathy (H35.02-)
- E08.39 Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication: diabetic glaucoma (H40-H42)
- E09.39 Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication: diabetic glaucoma (H40-H42)
- E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication: diabetic glaucoma (H40-H42)
- E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication: diabetic glaucoma (H40-H42)
- E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication: diabetic glaucoma (H40-H42)
- H42 Glaucoma in diseases classified elsewhere
- G40.42 Cyclin-Dependent Kinase-Like 5 Deficiency Disorder: cortical blindness (H47.61-)
- S04.0 Injury of optic nerve and pathways: code to identify any visual field defect or blindness (H53.4-, H54.-)
- S04.0 Injury of optic nerve and pathways: code to identify any visual field defect or blindness (H53.4-, H54.-)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Use Additional Code Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Use Additional Code Notes
What does a Use Additional Code note mean?
A Use Additional Code note tells you to add a second code, reported after the code that carries the note, to describe the condition completely. In an etiology/manifestation pair it sits at the etiology code and points to the manifestation (Section I.A.13). The FY 2027 Tabular List has 1,491 of them; 1,174 name other codes, with 1,438 references to 389 distinct codes, categories and ranges.
Where does the additional code go?
After the code carrying the note. For etiology/manifestation pairs the Guidelines are explicit: the etiology is sequenced first, followed by the manifestation code.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.